Active NPI
Emma Retherford
- Community Health Worker
- Centerburg, OH
National Provider Identifier
1265841654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 08141
- Practice address
- 2517 Johnstown Rd
Centerburg, OH 43011-9031 - Phone
- (740) 398-0822
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 08141 | OH | Primary |
Addresses
Primary practice location
2517 Johnstown Rd
Centerburg, OH 43011-9031
Mailing address
2517 Johnstown Rd
Centerburg, OH 43011-9031
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 |
|---|---|---|---|
| 08141 | OH | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1265841654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 JOHNSTOWN RD",
"city": "CENTERBURG",
"state": "OH",
"postal_code": "430119031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 JOHNSTOWN RD",
"city": "CENTERBURG",
"state": "OH",
"postal_code": "430119031",
"telephone_number": "740-398-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETHERFORD",
"first_name": "EMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "08141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.