Mary Lou Rothlisberger I

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 065716 Issued in OH

Practice address

17351 County Road 273
Mt Blanchard, OH 45867-9701

Phone

(419) 694-2135

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 2008By the provider in NPPES

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

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1861648701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17351 COUNTY ROAD 273",
            "city": "MT BLANCHARD",
            "state": "OH",
            "postal_code": "458679701",
            "telephone_number": "419-694-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17351 COUNTY ROAD 273",
            "city": "MT BLANCHARD",
            "state": "OH",
            "postal_code": "458679701",
            "telephone_number": "419-694-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHLISBERGER",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 065716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sue Brown, LPN
• Pamela Jean Cole, L.P.N.
• Laura Diane Freeman
• Sharon Myers, OTA
• Riverdale Local School District
• Melissa Stauffer
• Megan K Umphress

• Licensed Practical Nurse in Mount Blanchard, OH
• Providers in Mount Blanchard, 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 Aug 12, 2008; 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.