Individual provider Active NPI

Veronica Tarkenton, APRN

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1750714390
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.19015 Issued in OH
Practice address
3745 Grove Ave
Lorain, OH 44055-2734
Phone
(440) 240-1655
Fax
(440) 240-1655
NPI assigned
Aug 19, 2013
Last updated
Nov 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.19015 OH Primary

Addresses

Primary practice location

3745 Grove Ave
Lorain, OH 44055-2734

Mailing address

27610 Caroline Cir Apt B
Westlake, OH 44145-1128
Phone (619) 204-8133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001913 OH Practitioner - Nurse Practitioner 6507090230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.19015OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry Current Accepting new patients
Lorain County Health & Dentistry CurrentSince May 9, 2017 Accepting new patients
Lorain County Health & Dentistry CurrentSince May 9, 2017 Accepting new patients

Locations

105 Louden Ct
Elyria, OH 44035

1205 Broadway
Lorain, OH 44052

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: veronica.tarkenton.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1750714390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27610 CAROLINE CIR APT B",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451128",
            "telephone_number": "619-204-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 GROVE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552734",
            "telephone_number": "440-240-1655",
            "fax_number": "440-240-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARKENTON",
        "first_name": "VERONICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.19015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.