Individual provider Active NPI

Linda Demanou, FNP

  • Nurse Practitioner
  • Medina, OH
National Provider Identifier
1669055422
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145557 Issued in TX
Practice address
3637 Medina Rd Ste 85
Medina, OH 44256-8153
Phone
(330) 212-4884
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP145557 TX Primary

Addresses

Primary practice location

3637 Medina Rd Ste 85
Medina, OH 44256-8153

Mailing address

8200 Atherton St
Arlington, TX 76002-3031
Phone (240) 701-6437

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
AP145557TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vivacare Telehealth LLC CurrentSince Apr 27, 2025 Accepting new patients
Recrea Health and Wellness LLC CurrentSince May 16, 2021 Accepting new patients

Locations

3637 Medina Rd
Ste 85
Medina, OH 44256
Phone (330) 212-4884

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1669055422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 ATHERTON ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023031",
            "telephone_number": "240-701-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD STE 85",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568153",
            "telephone_number": "330-212-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMANOU",
        "first_name": "LINDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.