Individual provider Active NPI

Andrea R Belser

  • Nurse's Aide
  • Shaker HTS, OH
National Provider Identifier
1245521541
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401026900110 Issued in OH
Practice address
3769 Gridley Rd.
Shaker HTS, OH 44122-5036
Phone
(216) 283-0603
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401026900110 OH Primary

Addresses

Primary practice location

3769 Gridley Rd.
Shaker HTS, OH 44122-5036

Mailing address

3769 Gridley Rd
Shaker Heights, OH 44122-5036
Phone (216) 283-0603

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

LicenseStateTypeSpecialty
401026900110OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1245521541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 GRIDLEY RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225036",
            "telephone_number": "216-283-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 GRIDLEY RD.",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441225036",
            "telephone_number": "216-283-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSER",
        "first_name": "ANDREA",
        "middle_name": "R",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401026900110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker HTS, OH

Sources for this page

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

Verify at the official NPI Registry.