Kathy Shipley
Individual provider Active NPI Home Health Aide · Malta, OH
NPI 1235280694 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235280694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 2510367 (OH)
- Practice address
- 2719 Newlon Rd NW
Malta, OH 43758-9761 - Phone
- (740) 962-4869
- NPI assigned
- Jan 14, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2510367 | OH | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2510367 | OH | Yes |
Addresses
Primary practice location
2719 Newlon Rd NW
Malta, OH 43758-9761
Mailing address
1915 Township Road 213 SE
New Lexington, OH 43764-9636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2510367 | Medicaid | OH |
Other providers in Malta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.