Individual provider Active NPI

Keysha Mason-Owens

  • Nurse's Aide
  • Cleveland, OH
National Provider Identifier
1336881721
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
377826151298 Issued in OH
Practice address
650 E 185TH St
Cleveland, OH 44119-1767
Phone
(216) 675-0007
Fax
(216) 862-3100
NPI assigned
Apr 7, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 377826151298 OH Primary

Addresses

Primary practice location

650 E 185TH St
Cleveland, OH 44119-1767

Mailing address

650 E 185TH St
Cleveland, OH 44119-1767
Phone (216) 675-0007

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
377826151298OHMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hand Care Network LLC Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1336881721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441191767",
            "telephone_number": "216-675-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441191767",
            "telephone_number": "216-675-0007",
            "fax_number": "216-862-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-OWENS",
        "first_name": "KEYSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "377826151298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.