Active NPI
Marquetta Allison
- Nurse's Aide
- Toledo, OH
National Provider Identifier
1316494974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 363110231289E
- Practice address
- 2017 Bakewell St
Toledo, OH 43605-1203 - Phone
- (567) 225-8414
- Fax
- (419) 698-4909
- NPI assigned
- Sep 1, 2016
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 363110231289E | OH | Primary |
Addresses
Primary practice location
2017 Bakewell St
Toledo, OH 43605-1203
Mailing address
2017 Bakewell
Toledo, OH 43605
Phone (567) 225-8414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363110231289E | Other | OH | NURSE AIDE |
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 |
|---|---|---|---|
| 363110231289E | OH | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquetta K Bush | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Toledo, OH
- NPI 1538614995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1316494974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 BAKEWELL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43605",
"telephone_number": "567-225-8414",
"fax_number": "419-698-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 BAKEWELL ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436051203",
"telephone_number": "567-225-8414",
"fax_number": "419-698-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "MARQUETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "363110231289E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE AIDE",
"identifier": "363110231289E",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.