Active NPI
Mary Kathleen Fernandez, RN
- Registered Nurse
- Galion, OH
National Provider Identifier
1962825372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 237146
- Practice address
- 5180 State Route 19
Galion, OH 44833-9765 - Phone
- (419) 560-7042
- NPI assigned
- Jan 22, 2014
- 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 | 237146 | OH | Primary |
Addresses
Primary practice location
5180 State Route 19
Galion, OH 44833-9765
Mailing address
5180 State Route 19
Galion, OH 44833-9765
Phone (419) 560-7042
Other names 1
- Mary Kathleen Flohr
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 |
|---|---|---|---|
| 237146 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1962825372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 STATE ROUTE 19",
"city": "GALION",
"state": "OH",
"postal_code": "448339765",
"telephone_number": "419-560-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 STATE ROUTE 19",
"city": "GALION",
"state": "OH",
"postal_code": "448339765",
"telephone_number": "419-560-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "237146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "FLOHR",
"middle_name": "KATHLEEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.