Active NPI
Brenda Jean Roper, LPN
- Licensed Practical Nurse
- Cincinnati, OH
National Provider Identifier
1861627192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN110139
- Practice address
- 11388 Oakstand Dr
Cincinnati, OH 45240-2830 - Phone
- (513) 545-4597
- Fax
- (513) 825-1279
- NPI assigned
- May 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN110139 | OH | Primary |
Addresses
Primary practice location
11388 Oakstand Dr
Cincinnati, OH 45240-2830
Mailing address
PO Box 18291
Cincinnati, OH 45218-0291
Phone (513) 545-4597
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN110139 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1861627192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18291",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452180291",
"telephone_number": "513-545-4597",
"fax_number": "513-825-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11388 OAKSTAND DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452402830",
"telephone_number": "513-545-4597",
"fax_number": "513-825-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROPER",
"first_name": "BRENDA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN110139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.