De'Shauna Byrd
Individual provider Active NPI Homemaker · Brunswick, OH
NPI 1093556201 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1093556201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 4490 Aspen Lake Dr Ste 312
Brunswick, OH 44212-4548 - Phone
- (216) 832-8716
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | OH | ||
| Driver | 172A00000X | |||
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
4490 Aspen Lake Dr Ste 312
Brunswick, OH 44212-4548
Mailing address
4490 Aspen Lake Dr Ste 312
Brunswick, OH 44212-4548
Phone (216) 832-8716
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.