Individual provider Active NPI

Jude Anneryan Cohen, RN, LSN

  • Registered Nurse
  • Kettering, OH
National Provider Identifier
1679983084
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN208723 Issued in OH
Practice address
1200 W. Dorothy Lane,
Southdale Elementary School,
Kettering, OH 45409
Phone
(937) 499-1890
Fax
(937) 499-1909
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN208723 OH Primary
School Registered Nurse 163WS0200X MA100971 OH

Addresses

Primary practice location

1200 W. Dorothy Lane,
Southdale Elementary School,
Kettering, OH 45409

Mailing address

3750 Far Hills Avenue
Kettering City Schools,
Kettering, OH 45429-2584
Phone (937) 499-1473

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
RN208723OHMDRegistered Nurse
MA100971OHMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering City School District Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1679983084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 FAR HILLS AVENUE",
            "address_2": "KETTERING CITY SCHOOLS,",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292584",
            "telephone_number": "937-499-1473",
            "fax_number": "937-499-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W. DOROTHY LANE,",
            "address_2": "SOUTHDALE ELEMENTARY SCHOOL,",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-499-1890",
            "fax_number": "937-499-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JUDE",
        "middle_name": "ANNERYAN",
        "name_prefix": "Mrs.",
        "credential": "RN, LSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN208723",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "MA100971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.