Individual provider Active NPI

To Nettle C Otchere, M.ED, LPN

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1962744771
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
084511 Issued in OH
Practice address
5601 Opengate CT
Cincinnati, OH 45247-5979
Phone
(513) 259-5311
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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 084511 OH Primary

Addresses

Primary practice location

5601 Opengate CT
Cincinnati, OH 45247-5979

Mailing address

5601 Opengate CT
Cincinnati, OH 45247-5979
Phone (513) 259-5311

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
Master of Education

State licenses

LicenseStateTypeSpecialty
084511OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1962744771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 OPENGATE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475979",
            "telephone_number": "513-259-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 OPENGATE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452475979",
            "telephone_number": "513-259-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTCHERE",
        "first_name": "TO NETTLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "084511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.