Individual provider Active NPI

Carmella Colston Usher, L.P.N.

  • Licensed Practical Nurse
  • Cleveland Heights, OH
National Provider Identifier
1821279555
Registry record updated Nov 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 062952 Issued in OH
Practice address
1042 Hillstone Rd
Cleveland Heights, OH 44121-2426
Phone
(216) 291-5363
NPI assigned
Nov 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 062952 OH Primary

Addresses

Primary practice location

1042 Hillstone Rd
Cleveland Heights, OH 44121-2426

Mailing address

PO Box 18981
Cleveland Heights, OH 44118-0981
Phone (216) 262-5176

Other identifiers 1

IdentifierTypeStateIssuer
2356589MedicaidOH

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

LicenseStateTypeSpecialty
PN 062952OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195689600000",
    "number": "1821279555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18981",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441180981",
            "telephone_number": "216-262-5176",
            "fax_number": "216-381-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 HILLSTONE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212426",
            "telephone_number": "216-291-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHER",
        "first_name": "CARMELLA",
        "middle_name": "COLSTON",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-22",
        "last_updated": "2007-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 062952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2007; 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.