Active NPI
Harry Vannus, NP
- Neonatal Nurse Practitioner
- Lima, OH
National Provider Identifier
1629244926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- COA.08989-NP
- Practice address
- 730 W Market St
Lima, OH 45801-4602 - Phone
- (419) 226-9695
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | COA.08989-NP | OH | Primary |
Addresses
Primary practice location
730 W Market St
Lima, OH 45801-4602
Mailing address
700 Childrens Drive
Columbus, OH 43205
Phone (614) 722-6510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305596 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171211002583 | OH | Order and Referring Only - Nurse Practitioner | 6608134150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1629244926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-6510",
"fax_number": "614-722-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014602",
"telephone_number": "419-226-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNUS",
"first_name": "HARRY",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "OH",
"license": "COA.08989-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0305596",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.