Active NPI
Carla Hough
- Community Health Worker
- Reynoldsburg, OH
National Provider Identifier
1194101659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 401493720313
- Practice address
- 2110 Lynbridge Dr
Reynoldsburg, OH 43068-3525 - Phone
- (614) 496-3097
- NPI assigned
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 401493720313 | OH | Primary |
Addresses
Primary practice location
2110 Lynbridge Dr
Reynoldsburg, OH 43068-3525
Mailing address
2110 Lynbridge Dr
Reynoldsburg, OH 43068-3525
Phone (614) 496-3097
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 |
|---|---|---|---|
| 401493720313 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1194101659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 LYNBRIDGE DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683525",
"telephone_number": "614-496-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 LYNBRIDGE DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683525",
"telephone_number": "614-496-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGH",
"first_name": "CARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "401493720313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.