Active NPI
Mary Joan Apodaca, RN
- Public Health & General Preventive Medicine Physician
- Toledo, OH
National Provider Identifier
1780159566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 258694
- Practice address
- 635 N Erie St
Toledo, OH 43604-5317 - Phone
- (419) 213-4121
- Fax
- (419) 213-4196
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 258694 | OH | Primary |
Addresses
Primary practice location
635 N Erie St
Toledo, OH 43604-5317
Mailing address
635 N Erie St
Toledo, OH 43604-5317
Phone (419) 213-4121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258694 | Other | OH | NURSING LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258694 | OH | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1780159566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045317",
"telephone_number": "419-213-4121",
"fax_number": "419-213-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436045317",
"telephone_number": "419-213-4121",
"fax_number": "419-213-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APODACA",
"first_name": "MARY",
"middle_name": "JOAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OH",
"license": "258694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "258694",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.