Jennifer Marie Birk, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN088881 Issued in OH

Practice address

256 Williamsburg Dr
Avon Lake, OH 44012-2602

Phone

(440) 933-8207

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982811675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 WILLIAMSBURG DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122602",
            "telephone_number": "440-933-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 WILLIAMSBURG DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122602",
            "telephone_number": "440-933-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN088881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah M Bacon, LSW
• Darlene Baron, RPH
• Claudia Kay Bevan, D.D.S.
• Amber Biacsi, RN
• Mariah Jordan Big, PMHNP-BC
• Erin Bookstore
• Samantha Anne Borisuk, DO
• Juliana Branch, LPCC
• Hallie Marie Brown, LPC
• Pamela Ann Burroughs

• Licensed Practical Nurse in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.