Individual provider Active NPI

Erica C Pauley, LPN, QMHS

  • Case Manager/Care Coordinator
  • Portsmouth, OH
National Provider Identifier
1265055867
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
LPN.163410-MEDS-IV Issued in OH
Practice address
901 Washington St
Portsmouth, OH 45662-3944
Phone
(740) 354-7702
Fax
(740) 353-6206
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LPN.163410-MEDS-IV OH Primary

Addresses

Primary practice location

901 Washington St
Portsmouth, OH 45662-3944

Mailing address

PO Box 1507
Portsmouth, OH 45662-1507
Phone (740) 354-7702

Other identifiers 1

IdentifierTypeStateIssuer
LPN.163410-MEDS-IVOtherOHOH LICENSE

Other names 1

  • Erica C Howard Former name

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
LPN.163410-MEDS-IVOHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center Inc CurrentSince May 24, 2020 Accepting new patients
Shawnee Mental Health Center, Inc. PastSince May 24, 2020 Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients

Locations

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

Interoperability endpoints

  • Direct secure messaging: erica.pauley.p1@direct.shawneemhc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1265055867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456621507",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "ERICA",
        "middle_name": "C",
        "credential": "LPN, QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "LPN.163410-MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH LICENSE",
            "identifier": "LPN.163410-MEDS-IV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "HOWARD",
            "middle_name": "C",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.