Roberta Lynn Cottle, RN

Key facts

NPI

1801048111

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

RN180257 (OH)

Practice address

3381 Northern Rd
Somerville, OH 45064-9605

Phone

(937) 787-4791

Fax

(937) 787-4791

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2008.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1801048111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 NORTHERN RD",
            "city": "SOMERVILLE",
            "state": "OH",
            "postal_code": "450649605",
            "telephone_number": "937-787-4791",
            "fax_number": "937-787-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 NORTHERN RD",
            "city": "SOMERVILLE",
            "state": "OH",
            "postal_code": "450649605",
            "telephone_number": "937-787-4791",
            "fax_number": "937-787-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "ROBERTA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN180257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Somerville, OH · Registered Nurse in Ohio