Individual provider Active NPI

Megan Calicoat, LPN M-IV

  • Licensed Practical Nurse
  • Troy, OH
National Provider Identifier
1831601186
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
133836 Issued in OH
Practice address
1059 N Market St
Troy, OH 45373-1433
Phone
(937) 335-4543
Fax
(937) 339-8371
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 133836 OH Primary

Addresses

Primary practice location

1059 N Market St
Troy, OH 45373-1433

Mailing address

1059 N Market St
Troy, OH 45373-1433
Phone (937) 335-4543

Other identifiers 1

IdentifierTypeStateIssuer
2901051MedicaidOH

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
133836OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1831601186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731433",
            "telephone_number": "937-335-4543",
            "fax_number": "937-339-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731433",
            "telephone_number": "937-335-4543",
            "fax_number": "937-339-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICOAT",
        "first_name": "MEGAN",
        "credential": "LPN M-IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "133836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.