Individual provider Active NPI

Rose M Nelly-Lescook, LPN

  • Licensed Practical Nurse
  • Bedford, OH
National Provider Identifier
1750608097
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 115325-M-IV Issued in OH
Practice address
126 Harriman Ave
Bedford, OH 44146-3724
Phone
(216) 357-9254
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 115325-M-IV OH Primary

Addresses

Primary practice location

126 Harriman Ave
Bedford, OH 44146-3724

Mailing address

126 Harriman Ave
Bedford, OH 44146
Phone (216) 357-9254

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
PN 115325-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1750608097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HARRIMAN AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "44146",
            "telephone_number": "216-357-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HARRIMAN AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463724",
            "telephone_number": "216-357-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLY-LESCOOK",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 115325-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.