Shelly Nicolle Blythe

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

5231 Westwind Ave
Hamilton, OH 45011-8944

Phone

(513) 400-0357

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1346023496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 WESTWIND AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118944",
            "telephone_number": "513-400-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 WESTWIND AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118944",
            "telephone_number": "513-400-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "SHELLY",
        "middle_name": "NICOLLE",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Ray Blevins, CDCA II
• Derrick Blevins, CDCA
• Madison Raelen Blevins
• Kimberly Bley, RN
• Morgan Ann Blumberg
• Olivia Boch, ED.S.
• Lindsey Bockerstette
• Laura Bohman, SLP
• Darla Boitnott, LCDC-II
• Nour Ilenda Bokatuka

• In Home Supportive Care Agency in Hamilton, OH
• Providers in Hamilton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.