Individual provider Active NPI

Thelma M Edwards, CHHA

  • Home Health Aide
  • Cincinnati, OH
National Provider Identifier
1053409391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2455427 Issued in OH
Practice address
3336 Cavanaugh Ave
Cincinnati, OH 45211-7502
Phone
(513) 481-2068
Fax
(513) 481-2068
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2455427 OH Primary

Addresses

Primary practice location

3336 Cavanaugh Ave
Cincinnati, OH 45211-7502

Mailing address

3336 Cavanaugh Ave
Cincinnati, OH 45211-7502
Phone (513) 481-2068

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
2455427OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053409391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 CAVANAUGH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452117502",
            "telephone_number": "513-481-2068",
            "fax_number": "513-481-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 CAVANAUGH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452117502",
            "telephone_number": "513-481-2068",
            "fax_number": "513-481-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THELMA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CHHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2455427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.