Active NPI
Carmen Storm, RN
- Registered Nurse
- Dayton, OH
National Provider Identifier
1619535697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.505437
- Practice address
- 245 W Elmwood Dr Ste 206
Dayton, OH 45459-4249 - Phone
- (937) 654-3841
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.149365.MEDS-IV | OH | |
| Registered Nurse | 163W00000X | RN.505437 | OH | Primary |
Addresses
Primary practice location
245 W Elmwood Dr Ste 206
Dayton, OH 45459-4249
Mailing address
245 W Elmwood Dr Ste 206
Dayton, OH 45459-4249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.505437 | OH | MD | Registered Nurse |
| LPN.149365.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartbeats at Home LLC | Current | Accepting new patients |
Locations
245 W Elmwood Dr
Ste 206
Dayton, OH 45459
Phone (937) 654-3841
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Centerville, OH
- NPI 1427823954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1619535697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W ELMWOOD DR STE 206",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W ELMWOOD DR STE 206",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594249",
"telephone_number": "937-654-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORM",
"first_name": "CARMEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.149365.MEDS-IV",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.505437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.