Active NPI
Denise Taylor
- Nurse's Aide
- Kettering, OH
National Provider Identifier
1386930568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401179041210
- Practice address
- 3463 Valleywood Dr
Kettering, OH 45429-4234 - Phone
- (937) 823-3181
- NPI assigned
- Jun 25, 2011
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401179041210 | OH | Primary |
Addresses
Primary practice location
3463 Valleywood Dr
Kettering, OH 45429-4234
Mailing address
3463 Valleywood Dr
Kettering, OH 45429-4234
Other names 1
- Denise Baltes
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 |
|---|---|---|---|
| 401179041210 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308960000000",
"number": "1386930568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3463 VALLEYWOOD DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3463 VALLEYWOOD DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294234",
"telephone_number": "937-823-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-25",
"last_updated": "2011-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401179041210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "BALTES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.