Active NPI
Kimberly L Silva
- Personal Care Attendant
- Ashtabula, OH
National Provider Identifier
1104642057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- UL720871
- Practice address
- 2213 Columbus Ave
Ashtabula, OH 44004-5036 - Phone
- (440) 228-1012
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 | UL720871 | OH | Primary |
Addresses
Primary practice location
2213 Columbus Ave
Ashtabula, OH 44004-5036
Mailing address
1017 Carriage Hill Dr Apt 103
Ashtabula, OH 44004-7415
Phone (440) 319-4219
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 |
|---|---|---|---|
| UL720871 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1104642057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 CARRIAGE HILL DR APT 103",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440047415",
"telephone_number": "440-319-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 COLUMBUS AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440045036",
"telephone_number": "440-228-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "KIMBERLY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "UL720871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.