Active NPI
Kendra Outram, INDEPENDENT PROVIDER
- Home Health Aide
- Cleveland, OH
National Provider Identifier
1225641244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4678 Birchwood Rd
Cleveland, OH 44125-1357 - Phone
- (216) 965-3797
- NPI assigned
- Aug 28, 2020
- Last updated
- Aug 28, 2020
- 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 | NU | Primary |
Addresses
Primary practice location
4678 Birchwood Rd
Cleveland, OH 44125-1357
Mailing address
4678 Birchwood Rd
Cleveland, OH 44125-1357
Phone (216) 965-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098307 | 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": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1225641244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4678 BIRCHWOOD RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441251357",
"telephone_number": "216-965-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4678 BIRCHWOOD RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441251357",
"telephone_number": "216-965-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTRAM",
"first_name": "KENDRA",
"credential": "INDEPENDENT PROVIDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098307",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
- Our Place LLC
- Our Place Our Home Inc
- Our Place-Resource Services,LLC
- Hannah Ours, MS
- Maeve Rosaleen Ours, PC
- Outreach Home Health Services Inc (Darlene Pride)
- Outreach Professional Service, Inc. (Cuyahoga Physician Network)
- Outreach Professional Services Inc (Cuyahoga Physician Network)
- Outreach Professional Services Inc (St Vincent Medical Group)
- Outreach Professional Services Inc (Cuyahoga Physician Network)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.