Active NPI
Stacy Perko
- Licensed Practical Nurse
- Valley City, OH
National Provider Identifier
1992129720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN136478MIV
- Practice address
- 2001 Lester Rd
Valley City, OH 44280-9565 - Phone
- (216) 906-1231
- NPI assigned
- Feb 13, 2014
- Last updated
- Feb 17, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN136478MIV | OH | Primary |
Addresses
Primary practice location
2001 Lester Rd
Valley City, OH 44280-9565
Mailing address
2001 Lester Rd
Valley City, OH 44280-9565
Phone (216) 906-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992129720 | Other | OH | IP# |
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 |
|---|---|---|---|
| PN136478MIV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1992129720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 LESTER RD",
"city": "VALLEY CITY",
"state": "OH",
"postal_code": "442809565",
"telephone_number": "216-906-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LESTER RD",
"city": "VALLEY CITY",
"state": "OH",
"postal_code": "442809565",
"telephone_number": "216-906-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKO",
"first_name": "STACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN136478MIV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IP#",
"identifier": "1992129720",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valley City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.