Active NPI
Peggy Geis
- Personal Care Attendant
- Painesville, OH
National Provider Identifier
1285049148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1029 Brentwood Dr
Painesville, OH 44077-2764 - Phone
- (440) 521-5248
- NPI assigned
- Jun 30, 2014
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1029 Brentwood Dr
Painesville, OH 44077-2764
Mailing address
1029 Brentwood Dr
Painesville, OH 44077-2764
Phone (440) 521-5248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433770397101 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1285049148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 BRENTWOOD DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440772764",
"telephone_number": "440-521-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 BRENTWOOD DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440772764",
"telephone_number": "440-521-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIS",
"first_name": "PEGGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433770397101",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.