Debra G Hazelwood, STNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0345256 Issued in OH

Practice address

3628 Homestead Dr
Columbus, OH 43224-3475

Phone

(614) 571-6293

NPI assigned

Nov 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1205439122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 HOMESTEAD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243475",
            "telephone_number": "614-571-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 HOMESTEAD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243475",
            "telephone_number": "614-571-6293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 Atwood Ter",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432244007",
            "country_code": "US",
            "telephone_number": "614-560-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "DEBRA",
        "middle_name": "G",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0345256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345256",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Hazel, LPC
• Jessica Hazelbaker-Buell, DEM
• Alison Hazelbaker, PHD, IBCLC, CST
• Lindsay Hazelden, PHARMD
• Annette Hazelwood
• Tiffany Brooke Hazlett, QMHS
• HC DME Inc
• Hcrpath, LLC
• Mei Ji He Ho Feng, PHARMD
• Harrison He, PHARMD

• Home Health Aide in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.