Active NPI
Rodnesha Speed
- Personal Care Attendant
- South Euclid, OH
National Provider Identifier
1073990693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 4147 Greenvale Rd Apt 103a
South Euclid, OH 44121-2842 - Phone
- (440) 319-7319
- NPI assigned
- May 4, 2015
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
4147 Greenvale Rd Apt 103a
South Euclid, OH 44121-2842
Mailing address
4147 Greenvale Rd Apt 103a
South Euclid, OH 44121-2842
Phone (440) 319-7319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103295 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1073990693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4147 GREENVALE RD APT 103A",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212842",
"telephone_number": "440-319-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4147 GREENVALE RD APT 103A",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212842",
"telephone_number": "440-319-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEED",
"first_name": "RODNESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103295",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.