Individual provider Active NPI

Julie Ann Penter, LPN

  • Licensed Practical Nurse
  • Strongsville, OH
National Provider Identifier
1659796209
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN092588-MEDS Issued in OH
Practice address
9306 Priem Rd
Strongsville, OH 44149-2026
Phone
(440) 268-5919
Fax
(440) 572-7175
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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 PN092588-MEDS OH Primary

Addresses

Primary practice location

9306 Priem Rd
Strongsville, OH 44149-2026

Mailing address

9306 Priem Rd
Strongsville, OH 44149-2026
Phone (440) 268-5919

Other identifiers 1

IdentifierTypeStateIssuer
PN092588-MEDSOtherOHOHIO BOARD OF NURSING LICENSE #

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
PN092588-MEDSOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1659796209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 PRIEM RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441492026",
            "telephone_number": "440-268-5919",
            "fax_number": "440-572-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 PRIEM RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441492026",
            "telephone_number": "440-268-5919",
            "fax_number": "440-572-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN092588-MEDS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING LICENSE #",
            "identifier": "PN092588-MEDS",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.