Individual provider Active NPI

Leetonia L Maye, LPN

  • Licensed Practical Nurse
  • Dayton, OH
National Provider Identifier
1982260543
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
159756 Issued in OH
Practice address
4220 Camargo Dr Apt F
Dayton, OH 45415-3315
Phone
(937) 238-7184
NPI assigned
May 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2019

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 159756 OH Primary

Addresses

Primary practice location

4220 Camargo Dr Apt F
Dayton, OH 45415-3315

Mailing address

4220 Camargo Dr Apt F
Dayton, OH 45415-3315
Phone (937) 238-7184

Other identifiers 1

IdentifierTypeStateIssuer
159756MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Dayton Direct

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
159756OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1982260543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CAMARGO DR APT F",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153315",
            "telephone_number": "937-238-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CAMARGO DR APT F",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153315",
            "telephone_number": "937-238-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYE",
        "first_name": "LEETONIA",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "159756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159756",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dayton",
            "affiliation": "N",
            "endpointDescription": "tonyamaye77@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dayton",
            "address_1": "4220 Camargo Dr Apt F",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454153315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

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