Individual provider Active NPI

Deanna Sanko

  • Community Health Worker
  • Pickerington, OH
National Provider Identifier
1124481890
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
2303126 Issued in OH
Practice address
557 Pickerington Hills Dr
Pickerington, OH 43147-1368
Phone
(740) 652-5191
Fax
(740) 422-8009
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 2303126 OH Primary

Addresses

Primary practice location

557 Pickerington Hills Dr
Pickerington, OH 43147-1368

Mailing address

557 Pickerington Hills Dr
Pickerington, OH 43147-1368
Phone (740) 652-5191

Other identifiers 1

IdentifierTypeStateIssuer
2303126MedicaidOH

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
2303126OHMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
On the Go Support Services, LLC Current Accepting new patients
On the Go Support Services, LLC Current Accepting new patients

Organizations & group practices 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1124481890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 PICKERINGTON HILLS DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471368",
            "telephone_number": "740-652-5191",
            "fax_number": "740-422-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 PICKERINGTON HILLS DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471368",
            "telephone_number": "740-652-5191",
            "fax_number": "740-422-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKO",
        "first_name": "DEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "2303126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2303126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.