Individual provider Active NPI

Denise McNamara, BSN, RN

  • Gerontology Registered Nurse
  • Westlake, OH
National Provider Identifier
1700471588
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
RN225593 Issued in OH
Practice address
24340 Sperry Dr
Westlake, OH 44145-1565
Phone
(440) 250-5400
Fax
(866) 420-9667
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X RN225593 OH Primary

Addresses

Primary practice location

24340 Sperry Dr
Westlake, OH 44145-1565

Mailing address

24340 Sperry Dr
Westlake, OH 44145-1565
Phone (440) 250-5400

Other identifiers 2

IdentifierTypeStateIssuer
RN225593OtherOHNURSING LICENSE STATE OF OHIO
RN225593OtherOHSTATE OF OHIO NURSING LICENSE

Other names 1

  • Denise McNamara Professional name

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN225593OHMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1700471588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24340 SPERRY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451565",
            "telephone_number": "440-250-5400",
            "fax_number": "866-420-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24340 SPERRY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451565",
            "telephone_number": "440-250-5400",
            "fax_number": "866-420-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "DENISE",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "RN225593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE STATE OF OHIO",
            "identifier": "RN225593",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO NURSING LICENSE",
            "identifier": "RN225593",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MCNAMARA",
            "credential": "BSN, RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.