Individual provider Active NPI

Patricia Konneh

  • Homemaker
  • Canal Winchester, OH
National Provider Identifier
1083472252
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
2573856 Issued in OH
Practice address
5328 Valerie Angela Way
Canal Winchester, OH 43110-8253
Phone
(413) 345-0311
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X 2573856 OH Primary

Addresses

Primary practice location

5328 Valerie Angela Way
Canal Winchester, OH 43110-8253

Mailing address

5328 Valerie Angela Way
Canal Winchester, OH 43110-8253
Phone (413) 345-0311

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
2573856OHMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare & Human Services Homemaker PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1083472252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 VALERIE ANGELA WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108253",
            "telephone_number": "413-345-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 VALERIE ANGELA WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108253",
            "telephone_number": "413-345-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONNEH",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "OH",
            "license": "2573856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.