Amber Hall

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235

Phone

(614) 290-0699

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Huckleberry House, Inc.

  • Voluntary or Charitable Agency
  • Columbus, OH
  • NPI 1164481487
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1265008270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 HOLT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191451",
            "telephone_number": "614-290-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 BLACKLICK EASTERN RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478235",
            "telephone_number": "614-290-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Hafner
• Makia Hagans, LPN
• Danielle Nicole Hagedorn
• Shayla D Haggard, CASE MANAGEMENT
• Calissa Hahn
• Antonio Demetrious Hall
• Rebecca Jolynn Hall
• Regina Nichole Hall, RN
• Shannon Renee Hamilton
• Delena Hamman

• Case Manager/Care Coordinator in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.