Individual provider Active NPI

Noah William Peeps, SRNA, BSN, CCRN

  • Registered Nurse
  • Holland, OH
National Provider Identifier
1649015504
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.452764 Issued in OH
Practice address
8646 Saint George Dr
Holland, OH 43528-8891
Phone
(419) 309-7987
NPI assigned
Jul 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 RN.452764 OH Primary

Addresses

Primary practice location

8646 Saint George Dr
Holland, OH 43528-8891

Mailing address

8646 Saint George Dr
Holland, OH 43528-8891
Phone (419) 309-7987

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
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN.452764OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1649015504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 SAINT GEORGE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288891",
            "telephone_number": "419-309-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8646 SAINT GEORGE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288891",
            "telephone_number": "419-309-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPS",
        "first_name": "NOAH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "SRNA, BSN, CCRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.452764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.