Active NPI
Lee Ann Gillispie
- Personal Care Attendant
- Ironton, OH
National Provider Identifier
1356189765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- RG212604
- Practice address
- 275 N 3Rd St Apt 901
Ironton, OH 45638-1466 - Phone
- (740) 479-1190
- NPI assigned
- Jul 18, 2024
- Last updated
- Jul 18, 2024
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | RG212604 | OH | Primary |
Addresses
Primary practice location
275 N 3Rd St Apt 901
Ironton, OH 45638-1466
Mailing address
337 County Road 51
Pedro, OH 45659-8772
Phone (740) 479-1190
Other practice location 1
275 N 3rd St Apt 1005
Ironton, OH 45638-1467
Phone (740) 479-1190
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 |
|---|---|---|---|
| RG212604 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1356189765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 COUNTY ROAD 51",
"city": "PEDRO",
"state": "OH",
"postal_code": "456598772",
"telephone_number": "740-479-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N 3RD ST APT 901",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381466",
"telephone_number": "740-479-1190"
}
],
"practiceLocations": [
{
"address_1": "275 N 3rd St Apt 1005",
"address_purpose": "LOCATION",
"city": "Ironton",
"state": "OH",
"postal_code": "456381467",
"country_code": "US",
"telephone_number": "740-479-1190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLISPIE",
"first_name": "LEE",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "RG212604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.