Individual provider Active NPI

Donna Dean

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1760717177
Registry record updated Oct 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
135743 Issued in OH
Practice address
1767 Brentnell Ave
Columbus, OH 43219-1211
Phone
(614) 607-8308
NPI assigned
Oct 3, 2009
Last updated
Oct 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2009

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 135743 OH Primary

Addresses

Primary practice location

1767 Brentnell Ave
Columbus, OH 43219-1211

Mailing address

1767 Brentnell Ave
Columbus, OH 43219-1211
Phone (614) 607-8308

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
135743OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254528000000",
    "number": "1760717177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 BRENTNELL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191211",
            "telephone_number": "614-607-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 BRENTNELL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191211",
            "telephone_number": "614-607-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "135743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2009; 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.