Individual provider Active NPI

Denise Renee Musoke, LPN

  • Licensed Practical Nurse
  • Cleveland, OH
National Provider Identifier
1750898953
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN110227MEDS Issued in OH
Practice address
1710 Prospect Ave E FL 6
Cleveland, OH 44115-2322
Phone
(216) 781-3773
Fax
(217) 781-2023
NPI assigned
Jan 9, 2018
Last updated
Jan 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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 LPN110227MEDS OH Primary

Addresses

Primary practice location

1710 Prospect Ave E FL 6
Cleveland, OH 44115-2322

Mailing address

11802 Farringdon Ave
Cleveland, OH 44105-2508
Phone (216) 854-2640

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
LPN110227MEDSOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Salvation Army PastSince Mar 9, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1750898953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 FARRINGDON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052508",
            "telephone_number": "216-854-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PROSPECT AVE E FL 6",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152322",
            "telephone_number": "216-781-3773",
            "fax_number": "217-781-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOKE",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN110227MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.