Active NPI
Mary Anne Smith, HHA
- Contractor
- Conneaut, OH
National Provider Identifier
1265475271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2290560
- Practice address
- 452 Madison St
Conneaut, OH 44030-2504 - Phone
- (440) 593-4656
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2290560 | OH | Primary |
Addresses
Primary practice location
452 Madison St
Conneaut, OH 44030-2504
Mailing address
452 Madison St
Conneaut, OH 44030-2504
Phone (440) 593-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2290560 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2290560 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265475271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 MADISON ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302504",
"telephone_number": "440-593-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 MADISON ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302504",
"telephone_number": "440-593-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "HHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "2290560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2290560",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.