Individual provider Active NPI

Virginia Meyer-Park, RN

  • Registered Nurse
  • North Royalton, OH
National Provider Identifier
1669840500
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.155048 Issued in OH
Practice address
11312 Drake Rd
North Royalton, OH 44133-5408
Phone
(440) 552-9936
Fax
(440) 237-6201
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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.155048 OH Primary

Addresses

Primary practice location

11312 Drake Rd
North Royalton, OH 44133-5408

Mailing address

11312 Drake Rd
North Royalton, OH 44133-5408
Phone (440) 552-9936

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
RN.155048OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1669840500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 DRAKE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335408",
            "telephone_number": "440-552-9936",
            "fax_number": "440-237-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 DRAKE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335408",
            "telephone_number": "440-552-9936",
            "fax_number": "440-237-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER-PARK",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.155048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.