Active NPI
Nicholas Patrick, RN
- Medical-Surgical Registered Nurse
- Avon Lake, OH
National Provider Identifier
1790288157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 405406
- Practice address
- 224 Moore Rd
Avon Lake, OH 44012-1281 - Phone
- (330) 212-0952
- NPI assigned
- Mar 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 405406 | OH | Primary |
Addresses
Primary practice location
224 Moore Rd
Avon Lake, OH 44012-1281
Mailing address
224 Moore Rd
Avon Lake, OH 44012-1281
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 |
|---|---|---|---|
| 405406 | OH | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1790288157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 MOORE RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440121281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 MOORE RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440121281",
"telephone_number": "330-212-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "NICHOLAS",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-13",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "OH",
"license": "405406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.