Cynthia Elaine Derose, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN070044 Issued in OH

Practice address

5325 Harmony LN
Willoughby, OH 44094-4307

Phone

(440) 975-9082

Fax

(440) 975-9082

NPI assigned

Jan 28, 2008

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1801073341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 HARMONY LN",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944307",
            "telephone_number": "440-975-9082",
            "fax_number": "440-975-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 HARMONY LN",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944307",
            "telephone_number": "440-975-9082",
            "fax_number": "440-975-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "CYNTHIA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN070044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Nicole Delpra, RD
• David W Delzell, MD
• David Anthony Demangone, M.D.
• Ryan Dement
• Laurie L Demeter, RPH
• Anna Desorbes
• Christopher J Devens, D.C.
• Alicia Dexter, CDCA
• Jamie Dials
• Diane Eden, MD, Inc

• Licensed Practical Nurse in Willoughby, OH
• Providers in Willoughby, 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 Jan 28, 2008; 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.