Individual provider Active NPI

Erinn Gresham

  • Licensed Practical Nurse
  • Toledo, OH
National Provider Identifier
1922827344
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
172497.MEDS.IV Issued in OH
Practice address
5151 Monroe St Ste 204
Toledo, OH 43623-3467
Phone
(419) 865-5690
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 172497.MEDS.IV OH Primary

Addresses

Primary practice location

5151 Monroe St Ste 204
Toledo, OH 43623-3467

Mailing address

5151 Monroe St Ste 204
Toledo, OH 43623-3467
Phone (419) 865-5690

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
172497.MEDS.IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Behavioral Health Care CurrentSince Oct 6, 2024 Accepting new patients
Choices Behavioral Health Care CurrentSince Oct 6, 2024 Accepting new patients

Locations

5151 Monroe St
Ste 204
Toledo, OH 43623
Phone (419) 865-5690

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1922827344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 204",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233467",
            "telephone_number": "419-865-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 204",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233467",
            "telephone_number": "419-865-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "ERINN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "172497.MEDS.IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 3, 2024; 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.