Natosha Deondra Nickole Hall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1087 E 67TH St
Cleveland, OH 44103-1725

Phone

(216) 630-8529

NPI assigned

Sep 10, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1346855913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24355 GARDEN DR APT 112",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232444",
            "telephone_number": "216-630-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 E 67TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031725",
            "telephone_number": "216-630-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "NATOSHA",
        "middle_name": "DEONDRA NICKOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "1087 E 67th St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441031725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxwell Thomas Hall, DO
• Melanie Hall, FNP
• Mi Lon Lamarea Hall
• Michael Anthony Hall Jr., MD
• Michelle Hall
• Nesha Monique Hall
• Patricia Hall Jr., STNA
• Phillip M Hall, MD
• Porsha Lashay Hall, NURSE PRACTITIONER
• Rayneesha Deonna Hall

• Behavior Technician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.