Active NPI
Keiasia Love
- Registered Nurse
- Youngstown, OH
National Provider Identifier
1649814336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.424412
- Practice address
- 2151 Rush Blvd
Youngstown, OH 44507-1535 - Phone
- (330) 744-1181
- Fax
- (330) 740-2489
- NPI assigned
- Nov 5, 2019
- Last updated
- Nov 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.424412 | OH | Primary |
Addresses
Primary practice location
2151 Rush Blvd
Youngstown, OH 44507-1535
Mailing address
5171 Sampson Dr
Youngstown, OH 44505-1253
Phone (330) 398-0555
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.424412 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1649814336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5171 SAMPSON DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051253",
"telephone_number": "330-398-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 RUSH BLVD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445071535",
"telephone_number": "330-744-1181",
"fax_number": "330-740-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "KEIASIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.424412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.