Individual provider Active NPI

Christopher Price Tedford, NURSE

  • Licensed Practical Nurse
  • Frankfort, OH
National Provider Identifier
1881659654
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN077448 Issued in OH
Practice address
9385 State Route 28
Frankfort, OH 45628-9750
Phone
(740) 998-6364
Fax
(740) 998-6577
NPI assigned
Apr 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN077448 OH Primary

Addresses

Primary practice location

9385 State Route 28
Frankfort, OH 45628-9750

Mailing address

9385 State Route #28
Frankfort, OH 45628
Phone (740) 998-6364

Other identifiers 1

IdentifierTypeStateIssuer
2063887MedicaidOH

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
PN077448OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881659654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 STATE ROUTE #28",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "45628",
            "telephone_number": "740-998-6364",
            "fax_number": "740-998-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 STATE ROUTE 28",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "456289750",
            "telephone_number": "740-998-6364",
            "fax_number": "740-998-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDFORD",
        "first_name": "CHRISTOPHER",
        "middle_name": "PRICE",
        "name_prefix": "Mr.",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN077448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.