Individual provider Active NPI

Amanda Gerstner

  • Home Health Agency
  • Piqua, OH
National Provider Identifier
1265034698
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
809 McKinley Ave
Piqua, OH 45356-3039
Phone
(937) 214-9588
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

809 McKinley Ave
Piqua, OH 45356-3039

Mailing address

809 McKinley Ave
Piqua, OH 45356-3039
Phone (937) 214-9588

Other identifiers 1

IdentifierTypeStateIssuer
3148589MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alycat718@sbcglobal.net

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

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1265034698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MCKINLEY AVE",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453563039",
            "telephone_number": "937-214-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MCKINLEY AVE",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453563039",
            "telephone_number": "937-214-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTNER",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148589",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alycat718@sbcglobal.net",
            "affiliation": "N",
            "address_1": "809 McKinley Ave",
            "city": "Piqua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453563039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.