Emma Lee Micco

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

140788MIV Issued in OH

Practice address

1341 Market Ave N
Canton, OH 44714-2605

Phone

(330) 453-8252

NPI assigned

Nov 26, 2012

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

Other identifiers 1

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": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1821332230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 1/2 S LISBON ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151434",
            "telephone_number": "330-418-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142605",
            "telephone_number": "330-453-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICCO",
        "first_name": "EMMA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "140788MIV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Rosemary Metzger
• Maggie L Metzger, LSW
• Grace Meuleman, QMHS, CDCA
• Denise Meyer, SWT
• Todd A Meyerhoefer, MD
• Tammy Lynn Micco, N.P.
• Kristin Miceli
• Michael a. Rich, M.D. and Associates, Inc.
• Michael and Brittany Thomas DDS LLC
• Michael Tirmonia, DO, Inc

• Licensed Practical Nurse in Canton, OH
• Providers in Canton, 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 Nov 26, 2012; 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.