Active NPI
Carolyn M McCune, NP
- Licensed Practical Nurse
- Canton, OH
National Provider Identifier
1942372214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- COA.01554-NP
- Practice address
- 2600 6TH St SW
Canton, OH 44710-1702 - Phone
- (330) 452-9911
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | COA.01554-NP | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Canton, OH 44710-1702
Mailing address
2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2463936 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.01554-NP | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942372214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-452-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-452-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUNE",
"first_name": "CAROLYN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "COA.01554-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2463936",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, 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.