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Brenda L Dutton , LPN

Licensed Practical Nurse β€’ Canton, OH

Active NPI 1174938328 Individual Practitioner Female Practitioner
Practice location in NPPES

1341 Market Ave N
Canton, OH 447142605

Call 3304538252 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1341 Market Ave N

Canton, OH 447142605

Telephone 3304538252
Fax 3304536716
Organization at the Same NPPES Address or Phone
Quest Recovery And Prevention Services, Inc. Facility NPI 1407805682

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

225 active clinicians are listed under Licensed Practical Nurse with a practice address in Canton, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 225 clinicians have the CMS telehealth indicator.

0% of these 225 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH PN.066429-MEDS

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0182717 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1245230093

Doctor of Medicine (M.D.)

Dr. Krishnan Sivaram , MD

Psychiatry & Neurology - Psychiatry

NPI 1144293176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address August 23, 2019

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

βœ…
NPI Profile Active June 26, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 26, 2014

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

πŸ“
Business Mailing Address (Initial Record) June 26, 2014

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials (Initial Record) June 26, 2014

Recorded as BRENDA DUTTON, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2014

Licensed Practical Nurse (license number reported to NPPES: OH PN.066429-MEDS)

🟒
Initial NPI Registration & Enumeration June 26, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174938328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2014
Last Update: August 23, 2019
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.