Betty Kaye McCall X, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.104618.MEDS-IV Issued in OH

Practice address

3948 W Fremont Rd
Port Clinton, OH 43452-9817

Phone

(419) 271-0230

NPI assigned

Feb 13, 2018

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 names 1

• Betty Kaye Petersen Former name

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1851891246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 W FREMONT RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434529817",
            "telephone_number": "419-271-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 W FREMONT RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434529817",
            "telephone_number": "419-271-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "BETTY",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.104618.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "PETERSEN",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Ronald Maruschak, DDS
• Samantha J Mason, DO
• Morgan Ashley Maxwell, CT
• Joan A McAuliffe, LPN
• Ian McBride, R.PH.
• Wendy Ellen McCarthy, LISW
• Heather J McCool, LISWS
• Cassandra McGhee
• Billie McGillivray
• Elizabeth McGuire, RPH

• Licensed Practical Nurse in Port Clinton, OH
• Providers in Port Clinton, 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 Feb 13, 2018; 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.