Active NPI
Dollea Anthory
- Nurse's Aide
- Garfield Heights, OH
National Provider Identifier
1083387740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 602325450221
- Practice address
- 13217 Havana Rd
Garfield Heights, OH 44125-5137 - Phone
- (702) 488-4890
- NPI assigned
- Jul 28, 2021
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 602325450221 | OH | Primary |
Addresses
Primary practice location
13217 Havana Rd
Garfield Heights, OH 44125-5137
Mailing address
13217 Havana Rd
Garfield Heights, OH 44125-5137
Phone (702) 488-4890
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 |
|---|---|---|---|
| 602325450221 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1083387740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13217 HAVANA RD",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441255137",
"telephone_number": "702-488-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13217 HAVANA RD",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441255137",
"telephone_number": "702-488-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHORY",
"first_name": "DOLLEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "OH",
"license": "602325450221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.