Active NPI
Shawn Meckley, HHA
- Home Health Aide
- Old Washington, OH
National Provider Identifier
1316002843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2695472
- Practice address
- 200A Oldnational Rd
Oldwashington, OH 43768-0086 - Phone
- (740) 489-5188
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 2695472 | OH | Primary |
Addresses
Primary practice location
200A Oldnational Rd
Oldwashington, OH 43768-0086
Mailing address
PO Box 86
Old Washington, OH 43768-0086
Phone (740) 489-5188
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 |
|---|---|---|---|
| 2695472 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316002843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "OLD WASHINGTON",
"state": "OH",
"postal_code": "437680086",
"telephone_number": "740-489-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200A OLDNATIONAL RD",
"city": "OLDWASHINGTON",
"state": "OH",
"postal_code": "437680086",
"telephone_number": "740-489-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECKLEY",
"first_name": "SHAWN",
"credential": "HHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2695472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Washington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.