Active NPI
Angela Kaye Eidson, LPN-IP
- Licensed Practical Nurse
- Crestline, OH
National Provider Identifier
1992773881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN-089611
- Practice address
- 5805 Kemp Rd
Crestline, OH 44827-9646 - Phone
- (419) 683-1214
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | PN-089611 | OH | Primary |
Addresses
Primary practice location
5805 Kemp Rd
Crestline, OH 44827-9646
Mailing address
305 E. Main St.
Lexington, OH 44904-1350
Phone (419) 512-9384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2574781 | 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 |
|---|---|---|---|
| PN-089611 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992773881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E. MAIN ST.",
"city": "LEXINGTON",
"state": "OH",
"postal_code": "449041350",
"telephone_number": "419-512-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 KEMP RD",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448279646",
"telephone_number": "419-683-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDSON",
"first_name": "ANGELA",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "LPN-IP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-089611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2574781",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crestline, OH
- Crestline Medical Center, Inc
- Crestline Nursing Center LLC (Crestline Rehabilitation and Nursing Center)
- Crouch Enterprises, LLC
- Rickie E Crouch Sr.
- Raymond Michael Dubois, PTA
- Velmon D Franklin III
- Marilyn Ann Fried, PTA
- Galion Community Hospital (Avita Crestline Pharmacy)
- Galion Community Hospital (GCH Physician Practices, Seltzer Station Campus)
- Galion Community Hospital (GCH Physician Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.