Jodi Lynn Bates

Individual provider Active NPI Personal Care Attendant · Piketon, OH

NPI 1104595180 · NPPES record last updated Sep 23, 2025

Key facts

NPI
1104595180
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
2632 Jasper Rd
Piketon, OH 45661-9404
Phone
(740) 708-8558
NPI assigned
Sep 13, 2021
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)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

2632 Jasper Rd
Piketon, OH 45661-9404

Mailing address

2632 Jasper Rd
Piketon, OH 45661-9404
Phone (740) 708-8558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 23, 2025.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1104595180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 JASPER RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619404",
            "telephone_number": "740-708-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 JASPER RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619404",
            "telephone_number": "740-708-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piketon, OH

All providers in Piketon, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.