Active NPI
Angela S Bedard, STNA
- Nurse's Aide
- Dayton, OH
National Provider Identifier
1235436833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401198890211
- Practice address
- 905 Glendean Ave
Apt. 7
Dayton, OH 45431-1100 - Phone
- (937) 732-2881
- NPI assigned
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401198890211 | OH | Primary |
Addresses
Primary practice location
905 Glendean Ave
Apt. 7
Dayton, OH 45431-1100
Mailing address
905 Glendean Ave
Apt 7
Dayton, OH 45431-1100
Phone (937) 732-2881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| # 401198890211 | Other | OH | NURSE AIDE REGISTRY |
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 |
|---|---|---|---|
| 401198890211 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1235436833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 GLENDEAN AVE",
"address_2": "APT 7",
"city": "DAYTON",
"state": "OH",
"postal_code": "454311100",
"telephone_number": "937-732-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 GLENDEAN AVE",
"address_2": "APT. 7",
"city": "DAYTON",
"state": "OH",
"postal_code": "454311100",
"telephone_number": "937-732-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDARD",
"first_name": "ANGELA",
"middle_name": "S",
"credential": "STNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401198890211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE AIDE REGISTRY",
"identifier": "# 401198890211",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.