Individual provider Active NPI

Amanda Kyrene Gendrew

  • Personal Care Attendant
  • Cincinnati, OH
National Provider Identifier
1245602135
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
400976630909 Issued in OH
Practice address
661 Gholson Ave # 7
Cincinnati, OH 45229-2303
Phone
(513) 817-7953
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 400976630909 OH
Personal Care Attendant 3747P1801X 400976630909 OH Primary
Home Health Aide 374U00000X 400976630909 OH
Nurse's Aide 376K00000X 400976630909 OH

Addresses

Primary practice location

661 Gholson Ave # 7
Cincinnati, OH 45229-2303

Mailing address

661 Gholson Ave # 7
Cincinnati, OH 45229-2303
Phone (513) 817-7953

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
400976630909OHMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1245602135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GHOLSON AVE # 7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292303",
            "telephone_number": "513-817-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GHOLSON AVE # 7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292303",
            "telephone_number": "513-817-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDREW",
        "first_name": "AMANDA",
        "middle_name": "KYRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "OH",
            "license": "400976630909",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "400976630909",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400976630909",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400976630909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.