Individual provider Active NPI

Mary Lynne Garrett

  • Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1811399637
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA16565NP Issued in OH
Practice address
1397 Walnut St
Coshocton, OH 43812-2238
Phone
(740) 623-4382
Fax
(740) 622-1283
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA16565NP OH Primary

Addresses

Primary practice location

1397 Walnut St
Coshocton, OH 43812-2238

Mailing address

5697 Taylor Rd
New Franklin, OH 44216-9330
Phone (330) 338-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119002545 OH Practitioner - Nurse Practitioner 4587886965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

311 S 15TH St
St 101
Coshocton, OH 43832-1874
Phone (740) 622-0332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA16565NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Oct 31, 2016 Accepting new patients
Prime Healthcare Foundation - Coshocton, LLC CurrentSince Oct 31, 2016 Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients
Coshocton Surgical Clinic Past Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 102
Coshocton, OH 43812
Phone (740) 622-0332

406 S 15th St
Ste 2
Coshocton, OH 43812
Phone (740) 623-4440

311 S 15th St
Ste 101102
Coshocton, OH 43812

311 S 15th St
Ste 210
Coshocton, OH 43812

311 S 15th St
Ste 101
Coshocton, OH 43812
Phone (740) 295-3360

6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515

221 Railroad St
Warsaw, OH 43844
Phone (740) 294-9006

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1811399637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5697 TAYLOR RD",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "442169330",
            "telephone_number": "330-338-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WALNUT ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122238",
            "telephone_number": "740-623-4382",
            "fax_number": "740-622-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MARY LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA16565NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.