Active NPI
Sara Theresa Provens, RN
- Registered Nurse
- Canal Winchester, OH
National Provider Identifier
1942535901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 324937
- Practice address
- 5437 Dungarven St
Canal Winchester, OH 43110-8128 - Phone
- (614) 833-1579
- NPI assigned
- Oct 8, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 324937 | OH | Primary |
Addresses
Primary practice location
5437 Dungarven St
Canal Winchester, OH 43110-8128
Mailing address
5437 Dungarven St
Canal Winchester, OH 43110-8128
Phone (614) 833-1579
Other names 1
- Sara Theresa Loscko
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324937 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1942535901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 DUNGARVEN ST",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108128",
"telephone_number": "614-833-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5437 DUNGARVEN ST",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108128",
"telephone_number": "614-833-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVENS",
"first_name": "SARA",
"middle_name": "THERESA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "324937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "LOSCKO",
"middle_name": "THERESA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.