Active NPI
Jo Roberts
- Licensed Practical Nurse
- Cincinnati, OH
National Provider Identifier
1902229529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN035802 MEDS
- Practice address
- 3900 Cottingham Dr
Cincinnati, OH 45241-1616 - Phone
- (513) 864-1470
- Fax
- (513) 864-1491
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN035802 MEDS | OH | Primary |
| Licensed Practical Nurse | 164W00000X | PN035802 | OH |
Addresses
Primary practice location
3900 Cottingham Dr
Cincinnati, OH 45241-1616
Mailing address
3900 Cottingham Dr
Cincinnati, OH 45241-1616
Phone (513) 864-1470
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 |
|---|---|---|---|
| PN035802 | OH | MD | Licensed Practical Nurse |
| PN035802 MEDS | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1902229529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 COTTINGHAM DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452411616",
"telephone_number": "513-864-1470",
"fax_number": "513-864-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 COTTINGHAM DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452411616",
"telephone_number": "513-864-1470",
"fax_number": "513-864-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN035802 MEDS",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN035802",
"primary": false
}
],
"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 Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.