Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912528316 Individual Practitioner Female Practitioner

Vanessa Roush

Licensed Practical Nurse • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Vanessa Roush is a registered healthcare professional specializing in Licensed Practical Nurse in Maumee, OH. Practice services are available at 1757 INDIAN WOOD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1757 Indian Wood Cir

Maumee, OH 435374009

Telephone 4108078471
Associated Practice Facility / Clinic
🏢 Midwest Detox Center Llc Facility NPI 1033608195

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Maumee, OH

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

Practicing in Maumee, 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

CMS Verified: 2020-04-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.173977.MEDS-IV

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
David Pedigo

Counselor - Addiction (Substance Use Disorder)

NPI 1881395952

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2020

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009 (Tel: 4108078471)

📍
Updated Business Mailing Address April 27, 2020

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009

👤
Provider Name / Credentials Updated April 27, 2020

Recorded as VANESSA ROUSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2020

Licensed Practical Nurse (License #LPN.173977.MEDS-IV in OH)

🟢
Initial NPI Registration & Enumeration April 27, 2020

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: 1912528316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2020
Last Update: April 27, 2020
Sole Proprietor: Yes

Mailing Address

1757 Indian Wood Cir

Maumee, OH 435374009

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.