Talia Marie Brewer

Key facts

NPI

1124857412

Entity type

Individual (NPI type 1)

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Practice address

370 North St
Batavia, OH 45103-3006

Phone

(513) 823-2138

NPI assigned

Jul 26, 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

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2024.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1124857412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 NORTH ST",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451033006",
            "telephone_number": "513-823-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 NORTH ST",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451033006",
            "telephone_number": "513-823-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "TALIA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Batavia, OH · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio