Individual provider Active NPI

Antwin Antonio Causey, STNA-NURSE AIDE

  • Nurse's Aide
  • Cincinnati, OH
National Provider Identifier
1265597116
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400469610305 Issued in OH
Practice address
2861 Wilson Ave
2861 Wilson Ave.
Cincinnati, OH 45251-1070
Phone
(513) 674-7454
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400469610305 OH Primary

Addresses

Primary practice location

2861 Wilson Ave
2861 Wilson Ave.
Cincinnati, OH 45251-1070

Mailing address

2861 Wilson Ave
2861 Wilson Avenue
Cincinnati, OH 45251-1070
Phone (513) 674-7454

Other identifiers 2

IdentifierTypeStateIssuer
2586241MedicaidOH
400469610305OtherOHSTNA-NURSE AIDE

Other names 1

  • Mr. Antwin Antonio Causey Professional 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
400469610305OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265597116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 WILSON AVE",
            "address_2": "2861 WILSON AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511070",
            "telephone_number": "513-674-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 WILSON AVE",
            "address_2": "2861 WILSON AVE.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511070",
            "telephone_number": "513-674-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSEY",
        "first_name": "ANTWIN",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "STNA-NURSE AIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400469610305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586241",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STNA-NURSE AIDE",
            "identifier": "400469610305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTWIN",
            "last_name": "CAUSEY",
            "middle_name": "ANTONIO",
            "prefix": "MR.",
            "credential": "MR. ANTWIN A CAUSEY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 9, 2007; 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.