Individual provider Active NPI

Michele Lynn Arnold

  • Child Physical Disabilities Respite Care
  • Centerville, OH
National Provider Identifier
1306448261
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
910000896668 Issued in OH
Practice address
358 Lightbeam Dr
Centerville, OH 45458-3630
Phone
(281) 543-7437
NPI assigned
Nov 14, 2020
Last updated
Nov 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 910000896668 OH Primary

Addresses

Primary practice location

358 Lightbeam Dr
Centerville, OH 45458-3630

Mailing address

358 Lightbeam Dr
Centerville, OH 45458-3630
Phone (281) 543-7437

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

LicenseStateTypeSpecialty
910000896668OHMDChild Physical Disabilities Respite Care

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1306448261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 LIGHTBEAM DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583630",
            "telephone_number": "281-543-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 LIGHTBEAM DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583630",
            "telephone_number": "281-543-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "OH",
            "license": "910000896668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.