Individual provider Active NPI

Stanley Talo

  • Licensed Practical Nurse
  • Lebanon, OH
National Provider Identifier
1699429613
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
180565 Issued in OH
Practice address
102 W Warren St
Lebanon, OH 45036-1542
Phone
(513) 223-0240
NPI assigned
Feb 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 180565 OH Primary

Addresses

Primary practice location

102 W Warren St
Lebanon, OH 45036-1542

Mailing address

4582 Wyndtree Dr
West Chester, OH 45069-8747
Phone (513) 223-0240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stalo@mha.Ohio.gov

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
180565OHMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: stalo@mha.ohio.gov

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1699429613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 WYNDTREE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450698747",
            "telephone_number": "513-223-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W WARREN ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361542",
            "telephone_number": "513-223-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALO",
        "first_name": "STANLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-03-16",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "180565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stalo@mha.Ohio.gov",
            "affiliation": "N",
            "address_1": "102 W Warren St",
            "city": "Lebanon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450361542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.