Active NPI
Tammy Sue Gable
- Home Health Aide
- Urbana, OH
National Provider Identifier
1053943431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0274353
- Practice address
- 927 W Court St
Urbana, OH 43078-1927 - Phone
- (937) 508-0428
- NPI assigned
- Feb 4, 2020
- Last updated
- Dec 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 0274353 | OH | Primary |
Addresses
Primary practice location
927 W Court St
Urbana, OH 43078-1927
Mailing address
733 Park LN
Urbana, OH 43078-1262
Phone (937) 508-0428
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102813 | Medicaid | OH | |
| 0274353 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | computer | ||
| CONNECT URL | tammygable@icloud.com | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0274353 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1053943431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 PARK LN",
"city": "URBANA",
"state": "OH",
"postal_code": "430781262",
"telephone_number": "937-508-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 W COURT ST",
"city": "URBANA",
"state": "OH",
"postal_code": "430781927",
"telephone_number": "937-508-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABLE",
"first_name": "TAMMY",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "0274353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102813",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0274353",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "computer",
"affiliation": "N",
"address_1": "927 W Court St",
"city": "Urbana",
"state": "OH",
"country_code": "US",
"postal_code": "430781927",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tammygable@icloud.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "733 Park ln",
"city": "urbana",
"state": "OH",
"country_code": "US",
"postal_code": "43078",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.