Individual provider Active NPI

Marilyn Cameron

  • Developmentally Disabled Services Day Training Agency
  • Cincinnati, OH
National Provider Identifier
1053066365
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Practice address
4560 Paddock Rd Apt 2
Cincinnati, OH 45229-1135
Phone
(513) 325-8287
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YS0200X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4560 Paddock Rd Apt 2
Cincinnati, OH 45229-1135

Mailing address

4560 Paddock Rd Apt 2
Cincinnati, OH 45229-1135
Phone (513) 325-8287

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Cincinnati Health Information Exchange (HIE)
CONNECT URL Cincinnati Health Information Exchange (HIE)
CONNECT URL Cincinnati Health Information Exchange (HIE)
CONNECT URL Cincinnati Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1053066365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 PADDOCK RD APT 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291135",
            "telephone_number": "513-325-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 PADDOCK RD APT 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291135",
            "telephone_number": "513-325-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cincinnati",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4560 Paddock Rd Apt 2",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452291135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cincinnati",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4560 Paddock Rd Apt 2",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452291135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cincinnati",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4560 Paddock Rd Apt 2",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452291135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cincinnati",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4560 Paddock Rd Apt 2",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452291135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.