Individual provider Active NPI

Theta Ciriello

  • Registered Nurse
  • Warren, OH
National Provider Identifier
1952948259
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
437662 Issued in OH
Practice address
407 Glendola Ave NW
Warren, OH 44483-1250
Phone
(703) 310-8386
Fax
(703) 310-8386
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X 437662 OH Primary

Addresses

Primary practice location

407 Glendola Ave NW
Warren, OH 44483-1250

Mailing address

407 Glendola Ave NW
Warren, OH 44483-1250
Phone (703) 310-8386

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
437662OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1952948259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GLENDOLA AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831250",
            "telephone_number": "703-310-8386",
            "fax_number": "703-310-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 GLENDOLA AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831250",
            "telephone_number": "703-310-8386",
            "fax_number": "703-310-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRIELLO",
        "first_name": "THETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "437662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.