Shameka Perry

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.1801020 Issued in OH

Practice address

5502 Dixie Hwy
Fairfield, OH 45014-4297

Phone

(513) 874-9460

Fax

(513) 874-5731

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary-Jude Vetter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates of Fairfield, Inc

  • Pediatrics Physician
  • Fairfield, OH
  • NPI 1194844746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1003267048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRIC ASSOCIATES OF FAIRFIELD, INC",
            "address_2": "5502 DIXIE HIGHWAY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144297",
            "telephone_number": "513-874-9460",
            "fax_number": "513-874-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144297",
            "telephone_number": "513-874-9460",
            "fax_number": "513-874-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SHAMEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1801020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY-JUDE",
            "last_name": "VETTER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pediatric Associates of Fairfield, Inc
• Pediatrics of Hamilton Inc
• Peniel Healthcare Dba Peniel Homecare
• Linda M Penrod, MS, LPCC-S
• Perioperative Medical Consutants Inc
• Deno Michael Persiani, O.D.
• Personal Touch Home Care of Ohio, Inc.
• Ashley Nicole Pertuset, P.A.
• Agatha Peters
• Brendan Peterson, RPH

• Social Worker in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.