Individual provider Active NPI

Carla Edeh, RN

  • Registered Nurse
  • Lyndhurst, OH
National Provider Identifier
1639597461
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN289023 Issued in OH
Practice address
4947 Farnhurst Rd
Lyndhurst, OH 44124-2328
Phone
(216) 324-3325
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN289023 OH Primary

Addresses

Primary practice location

4947 Farnhurst Rd
Lyndhurst, OH 44124-2328

Mailing address

4947 Farnhurst Rd
Lyndhurst, OH 44124-2328
Phone (216) 324-3325

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

LicenseStateTypeSpecialty
RN289023OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carla Edeh Registered Nurse Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1639597461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 FARNHURST RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242328",
            "telephone_number": "216-324-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 FARNHURST RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242328",
            "telephone_number": "216-324-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEH",
        "first_name": "CARLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN289023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.