Myriam Descollines Bastien, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.168229.MEDS-IV Issued in OH

Practice address

205 Ellington Blvd
Granville, OH 43023-7520

Phone

(614) 377-3099

NPI assigned

Aug 21, 2023

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1780468728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ELLINGTON BLVD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430237520",
            "telephone_number": "614-377-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ELLINGTON BLVD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430237520",
            "telephone_number": "614-377-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "MYRIAM",
        "middle_name": "DESCOLLINES",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.168229.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Barcelona, APRN-CNP
• Brian Lee Barkett, PSY.D.
• Paul R Barnes, D.D.S.
• Barrett & Geiss Dermatology Inc
• Michael D Barth, MD
• Tyler Bates
• Beacon Orthopaedics & Sports Medicine LTD (OrthoAlliance of Ohio)
• Ryan Beatty, CNP
• Brad Lang Bernacki, MD
• Kimberly Jo Bernacki

• Licensed Practical Nurse in Granville, OH
• Providers in Granville, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.