Individual provider Active NPI

Mari Ann Szczublewski, LPN

  • Licensed Practical Nurse
  • Maumee, OH
National Provider Identifier
1982029609
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN123713-M-IV Issued in OH
Practice address
2423 S Holland Sylvania Rd
Apt 122
Maumee, OH 43537-1460
Phone
(419) 320-2201
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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 PN123713-M-IV OH Primary

Addresses

Primary practice location

2423 S Holland Sylvania Rd
Apt 122
Maumee, OH 43537-1460

Mailing address

2423 S Holland Sylvania Rd
Apt 122
Maumee, OH 43537-1460
Phone (419) 320-2201

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
PN123713-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1982029609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S HOLLAND SYLVANIA RD",
            "address_2": "APT 122",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371460",
            "telephone_number": "419-320-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 S HOLLAND SYLVANIA RD",
            "address_2": "APT 122",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371460",
            "telephone_number": "419-320-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZUBLEWSKI",
        "first_name": "MARI ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN123713-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.