Individual provider Active NPI

Patsy Gail Orris, C.L.P.N.

  • Licensed Practical Nurse
  • Ashtabula, OH
National Provider Identifier
1629293873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.091061 Issued in OH
Practice address
2903 S Ridge Rd W
Ashtabula, OH 44004-9060
Phone
(440) 992-9042
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.091061 OH Primary

Addresses

Primary practice location

2903 S Ridge Rd W
Ashtabula, OH 44004-9060

Mailing address

2903 S Ridge Rd W
Ashtabula, OH 44004-9060
Phone (440) 992-9042

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

State licenses

LicenseStateTypeSpecialty
PN.091061OHMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629293873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 S RIDGE RD W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049060",
            "telephone_number": "440-992-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 S RIDGE RD W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049060",
            "telephone_number": "440-992-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRIS",
        "first_name": "PATSY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "C.L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.091061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.