Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992773881 Individual Practitioner Female Practitioner

Angela Kaye Eidson , LPN-IP

Licensed Practical Nurse • Crestline, OH

Professional Overview & Biography Verified Profile Summary

Angela Eidson, LPN-IP is a registered healthcare professional specializing in Licensed Practical Nurse in Crestline, OH. Practice services are available at 5805 KEMP RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5805 Kemp Rd

Crestline, OH 448279646

Telephone 4196831214

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Crestline, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Crestline, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN-089611

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2574781 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5805 KEMP RD, CRESTLINE, OH 448279646 (Tel: 4196831214)

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Updated Business Mailing Address July 08, 2007

Registered at 305 E. MAIN ST., LEXINGTON, OH 449041350 (Tel: 4195129384)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANGELA EIDSON, LPN-IP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #PN-089611 in OH)

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Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992773881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

305 E. Main St.

Lexington, OH 449041350

Phone: 4195129384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.