Active NPI
Sheniece M Lattimore
- Contractor
- Columbus, OH
National Provider Identifier
1265848030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 3078397
- Practice address
- 87 S Ashburton Rd
Columbus, OH 43213-1687 - Phone
- (614) 633-0774
- Fax
- (614) 633-0774
- NPI assigned
- Jul 1, 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 3078397 | OH | Primary |
Addresses
Primary practice location
87 S Ashburton Rd
Columbus, OH 43213-1687
Mailing address
87 S Ashburton Rd
Columbus, OH 43213-1687
Phone (614) 633-0774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078397 | 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 |
|---|---|---|---|
| 3078397 | OH | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Understanding U Support Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Columbus, OH
- NPI 1831561000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1265848030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 S ASHBURTON RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131687",
"telephone_number": "614-633-0774",
"fax_number": "614-633-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 S ASHBURTON RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131687",
"telephone_number": "614-633-0774",
"fax_number": "614-633-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTIMORE",
"first_name": "SHENIECE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "3078397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078397",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.