Individual provider Active NPI

Karli Irene Demell

  • Peer Specialist
  • Akron, OH
National Provider Identifier
1023534138
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
00340 Issued in OH
Practice address
885 East Buchtel Avenue
P.O. Box 1501
Akron, OH 44309
Phone
(330) 996-2222
NPI assigned
Aug 21, 2017
Last updated
Aug 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 00340 OH Primary

Addresses

Primary practice location

885 East Buchtel Avenue
P.O. Box 1501
Akron, OH 44309

Mailing address

PO Box 1501
Akron, OH 44309-1501

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

LicenseStateTypeSpecialty
00340OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oriana House, Inc. Past Accepting new patients
Oriana House, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1023534138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1501",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 EAST BUCHTEL AVENUE",
            "address_2": "P.O. BOX 1501",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44309",
            "telephone_number": "330-996-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMELL",
        "first_name": "KARLI",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "00340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.