Active NPI
Nancy Jean Lidge
- Driver
- Akron, OH
National Provider Identifier
1982206769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RN519412
- Practice address
- 732 Sylvan Ave
Akron, OH 44306-2029 - Phone
- (330) 813-0219
- NPI assigned
- Nov 16, 2020
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | RN519412 | OH | Primary |
Addresses
Primary practice location
732 Sylvan Ave
Akron, OH 44306-2029
Mailing address
732 Sylvan Ave
Akron, OH 44306-2029
Phone (330) 813-0219
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0333153 | Medicaid | OH | |
| 0000257313 | Other | OH | DODD SUPPLIER ID 0000257313 |
| 0313104 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN519412 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1982206769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SYLVAN AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443062029",
"telephone_number": "330-813-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 SYLVAN AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443062029",
"telephone_number": "330-813-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDGE",
"first_name": "NANCY",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RN519412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0333153",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD SUPPLIER ID 0000257313",
"identifier": "0000257313",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0313104",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.