Active NPI
Sherah Edwards
- Attendant Care Provider
- Blacklick, OH
National Provider Identifier
1053842732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 0203373
- Practice address
- 8281 Piney Orch
Blacklick, OH 43004-8351 - Phone
- (937) 478-8518
- Fax
- (614) 845-8713
- NPI assigned
- Mar 23, 2017
- Reactivated
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | OH | ||
| Attendant Care Provider | 3747A0650X | 0203373 | OH | Primary |
Addresses
Primary practice location
8281 Piney Orch
Blacklick, OH 43004-8351
Mailing address
8281 Piney Orch
Blacklick, OH 43004-8351
Phone (937) 478-8518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203373 | 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 |
|---|---|---|---|
| 0203373 | OH | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1053842732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8281 PINEY ORCH",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430048351",
"telephone_number": "937-478-8518",
"fax_number": "614-845-8713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8281 PINEY ORCH",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430048351",
"telephone_number": "937-478-8518",
"fax_number": "614-845-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SHERAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-04-07",
"deactivation_date": "2017-03-30",
"reactivation_date": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "OH",
"license": "0203373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203373",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.