Active NPI
Darcy Cicconetti, RNC, IBCLC, RLC
- Health Educator
- Wooster, OH
National Provider Identifier
1992123921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- RN141529
- Practice address
- 200 Cannon Dr
Wooster, OH 44691-8541 - Phone
- (330) 345-2319
- NPI assigned
- Apr 7, 2014
- Last updated
- Apr 7, 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | RN141529 | OH | Primary |
Addresses
Primary practice location
200 Cannon Dr
Wooster, OH 44691-8541
Mailing address
200 Cannon Dr
Wooster, OH 44691-8541
Phone (330) 345-2319
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 |
|---|---|---|---|
| RN141529 | OH | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1992123921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CANNON DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446918541",
"telephone_number": "330-345-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CANNON DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446918541",
"telephone_number": "330-345-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCONETTI",
"first_name": "DARCY",
"name_prefix": "Mrs.",
"credential": "RNC, IBCLC, RLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "OH",
"license": "RN141529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.