Active NPI
Dezeree Dantell Garcia, LPN
- Licensed Practical Nurse
- Mansfield, OH
National Provider Identifier
1720410970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 150767
- Practice address
- 1451 Lucas Rd
Mansfield, OH 44903-8682 - Phone
- (419) 589-5511
- NPI assigned
- Jul 30, 2013
- Last updated
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 150767 | OH | Primary |
Addresses
Primary practice location
1451 Lucas Rd
Mansfield, OH 44903-8682
Mailing address
1451 Lucas Rd
Mansfield, OH 44903-8682
Phone (419) 589-5511
Other practice location 1
2775 State Route 39
Shelby, OH 44875
Phone (740) 501-7910
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dezeree.garcia@uhsinc.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150767 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell Abraxas Group, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Substance Abuse Rehabilitation Facility
- Shelby, OH
- NPI 1376518902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1720410970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 LUCAS RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449038682",
"telephone_number": "419-589-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 LUCAS RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449038682",
"telephone_number": "419-589-5511"
}
],
"practiceLocations": [
{
"address_1": "2775 State Route 39",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "OH",
"postal_code": "44875",
"country_code": "US",
"telephone_number": "740-501-7910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "DEZEREE",
"middle_name": "DANTELL",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "150767",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dezeree.garcia@uhsinc.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "1451 Lucas Rd",
"city": "Mansfield",
"state": "OH",
"country_code": "US",
"postal_code": "449038682",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.