Individual provider Active NPI

Alexis Ann Lingrel

  • Home Health Agency
  • Mount Victory, OH
National Provider Identifier
1346837879
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6502798 Issued in OH
Practice address
20363 County Road 340
Mount Victory, OH 43340-9610
Phone
(937) 407-4822
NPI assigned
Dec 30, 2020
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6502798 OH Primary

Addresses

Primary practice location

20363 County Road 340
Mount Victory, OH 43340-9610

Mailing address

20363 County Road 340
Mount Victory, OH 43340-9610

Other identifiers 1

IdentifierTypeStateIssuer
0359029MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alexis.lingrel1@gmail.com

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
6502798OHMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1346837879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20363 COUNTY ROAD 340",
            "city": "MOUNT VICTORY",
            "state": "OH",
            "postal_code": "433409610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20363 COUNTY ROAD 340",
            "city": "MOUNT VICTORY",
            "state": "OH",
            "postal_code": "433409610",
            "telephone_number": "937-407-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGREL",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "6502798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0359029",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alexis.lingrel1@gmail.com",
            "affiliation": "N",
            "address_1": "20363 County Road 340",
            "city": "Mount Victory",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433409610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Victory, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.