Active NPI
Kathy Jean Groll
- Homemaker
- Sylvania, OH
National Provider Identifier
1295597532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 2424 Logwood CT
Sylvania, OH 43560-8960 - Phone
- (903) 570-0738
- NPI assigned
- Jan 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
2424 Logwood CT
Sylvania, OH 43560-8960
Mailing address
5541 Pawnee Rd
Toledo, OH 43613-1914
Phone (419) 508-4426
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": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1295597532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5541 PAWNEE RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436131914",
"telephone_number": "419-508-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 LOGWOOD CT",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435608960",
"telephone_number": "903-570-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROLL",
"first_name": "KATHY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.