Active NPI
Renee Nicole Newman
- Home Health Aide
- Fairfield, OH
National Provider Identifier
1225174121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4921 Fairfield Circle
Fairfield, OH 45014-2901 - Phone
- (513) 829-0266
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | OH | Primary |
Addresses
Primary practice location
4921 Fairfield Circle
Fairfield, OH 45014-2901
Mailing address
22351 State Route 136
Winchester, OH 45697-9733
Phone (937) 695-1228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2662917 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225174121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22351 STATE ROUTE 136",
"city": "WINCHESTER",
"state": "OH",
"postal_code": "456979733",
"telephone_number": "937-695-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 FAIRFIELD CIRCLE",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142901",
"telephone_number": "513-829-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "RENEE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2662917",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.