Individual provider Active NPI

Jeanne Stowe, NP

  • Nurse Practitioner
  • Ravenna, OH
National Provider Identifier
1770890170
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022591 Issued in OH
Practice address
250 S Chestnut St Ste 16
Ravenna, OH 44266-3031
Phone
(216) 682-5704
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN364132 OH
Nurse Practitioner 363L00000X APRN.CNP.022591 OH Primary

Addresses

Primary practice location

250 S Chestnut St Ste 16
Ravenna, OH 44266-3031

Mailing address

485 Snavely Rd
Richmond HTS, OH 44143-2747
Phone (216) 402-6194

Other identifiers 1

IdentifierTypeStateIssuer
0394421MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tohhc.godaddysites.com Health Information Exchange (HIE)

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
I20181106002331 OH Practitioner - Nurse Practitioner 3577817774 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN364132OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Jan 21, 2024 Accepting new patients
Greenhouse and Associates Inc. Past Accepting new patients

Locations

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

3 Merit Dr
Richmond Hts, OH 44143
Phone (216) 261-1500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1770890170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 SNAVELY RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441432747",
            "telephone_number": "216-402-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S CHESTNUT ST STE 16",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663031",
            "telephone_number": "216-682-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "JEANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN364132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0394421",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tohhc.godaddysites.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "250 S Chestnut St Ste 16",
            "city": "Ravenna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442663031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.