Active NPI
Mary Lou Ferranto, APRN-BC
- Nurse Practitioner
- Poland, OH
National Provider Identifier
1689693186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP04326
- Practice address
- 807 Southwestern Run
Poland, OH 44514-3688 - Phone
- (330) 729-0059
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP04326 | OH | Primary |
Addresses
Primary practice location
807 Southwestern Run
Poland, OH 44514-3688
Mailing address
807 Southwestern Run
Poland, OH 44514-3688
Phone (330) 729-0059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2490148 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP04326 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1689693186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 SOUTHWESTERN RUN",
"city": "POLAND",
"state": "OH",
"postal_code": "445143688",
"telephone_number": "330-729-0059",
"fax_number": "330-729-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 SOUTHWESTERN RUN",
"city": "POLAND",
"state": "OH",
"postal_code": "445143688",
"telephone_number": "330-729-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRANTO",
"first_name": "MARY LOU",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP04326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2490148",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.