Individual provider Active NPI

Michelle Olesnanik

  • Licensed Practical Nurse
  • Ashtabula, OH
National Provider Identifier
1912349630
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.142212-M-IV Issued in OH
Practice address
4447 S Ridge Rd W
Ashtabula, OH 44004-9579
Phone
(440) 344-0135
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.142212-M-IV OH Primary
Licensed Practical Nurse 164W00000X PN287297 PA

Addresses

Primary practice location

4447 S Ridge Rd W
Ashtabula, OH 44004-9579

Mailing address

4447 S Ridge Rd W
Ashtabula, OH 44004-9579
Phone (440) 344-0135

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
PN.142212-M-IVOHMDLicensed Practical Nurse
PN287297PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1912349630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 S RIDGE RD W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049579",
            "telephone_number": "440-344-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 S RIDGE RD W",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049579",
            "telephone_number": "440-344-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESNANIK",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.142212-M-IV",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN287297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.