Active NPI
Nancy Forsythe
- Home Health Aide
- Brunswick, OH
National Provider Identifier
1306384573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 5210882
- Practice address
- 4661 Wolff Dr
Brunswick, OH 44212-2548 - Phone
- (216) 303-0050
- NPI assigned
- Feb 7, 2017
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 5210882 | OH | Primary |
Addresses
Primary practice location
4661 Wolff Dr
Brunswick, OH 44212-2548
Mailing address
4661 Wolff Dr
Brunswick, OH 44212-2548
Phone (216) 303-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5210882 | 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 |
|---|---|---|---|
| 5210882 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1306384573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4661 WOLFF DR",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442122548",
"telephone_number": "216-303-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4661 WOLFF DR",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442122548",
"telephone_number": "216-303-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTHE",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "5210882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5210882",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.