Individual provider Active NPI

Tina Marie Nedd

  • Nurse's Aide
  • Toledo, OH
National Provider Identifier
1912336389
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
4013646600312
Practice address
754 Acton Dr
Toledo, OH 43615-6555
Phone
(567) 315-5758
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 4013646600312 Primary

Addresses

Primary practice location

754 Acton Dr
Toledo, OH 43615-6555

Mailing address

754 Acton Dr
Toledo, OH 43615-6555
Phone (567) 315-5758

Other identifiers 1

IdentifierTypeStateIssuer
401364660312OtherOHCERTIFIED NURSING ASSISTANR

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

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1912336389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 ACTON DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156555",
            "telephone_number": "567-315-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 ACTON DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156555",
            "telephone_number": "567-315-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDD",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": "4013646600312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSING ASSISTANR",
            "identifier": "401364660312",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.