Individual provider Active NPI

Robbie Sue Lytle

  • Student in an Organized Health Care Education/Training Program
  • Canton, OH
National Provider Identifier
1679280291
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2310 17TH St NE
Canton, OH 44705-2014
Phone
(330) 209-6888
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2310 17TH St NE
Canton, OH 44705-2014

Mailing address

2310 17TH St NE
Canton, OH 44705-2014
Phone (330) 209-6888

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidOH

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Laptop
CONNECT URL Laptop
CONNECT URL Laptop
Other URL Smartphone

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

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1679280291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 17TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052014",
            "telephone_number": "330-209-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 17TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052014",
            "telephone_number": "330-209-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "ROBBIE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "2310 17th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447052014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "2310 17th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447052014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "2310 17th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447052014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Smartphone",
            "affiliation": "N",
            "address_1": "2310 17th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447052014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.