Active NPI
Jessica D Ule
- Home Health Aide
- Brooklyn, OH
National Provider Identifier
1033529656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2817107
- Practice address
- 9111 Morton Ave
Brooklyn, OH 44144-2534 - Phone
- (216) 262-4638
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2817107 | OH | Primary |
Addresses
Primary practice location
9111 Morton Ave
Brooklyn, OH 44144-2534
Mailing address
9111 Morton Ave
Brooklyn, OH 44144-2534
Phone (216) 262-4638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2817107 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2817107 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1033529656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 MORTON AVE",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441442534",
"telephone_number": "216-262-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 MORTON AVE",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441442534",
"telephone_number": "216-262-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULE",
"first_name": "JESSICA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2817107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2817107",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.