Active NPI
Angela Lynn Wolf, LPN
- Licensed Practical Nurse
- Tiffin, OH
National Provider Identifier
1790386563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN-112362
- Practice address
- 65 Saint Francis Ave
Tiffin, OH 44883-3413 - Phone
- (567) 220-7018
- Fax
- (567) 220-7012
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-112362 | OH | Primary |
Addresses
Primary practice location
65 Saint Francis Ave
Tiffin, OH 44883-3413
Mailing address
7730 State Hwy 23
Carey, OH 43316
Phone (419) 310-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN-112362 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1790386563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7730 STATE HWY 23",
"city": "CAREY",
"state": "OH",
"postal_code": "43316",
"telephone_number": "419-310-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SAINT FRANCIS AVE",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448833413",
"telephone_number": "567-220-7018",
"fax_number": "567-220-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ANGELA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-112362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.