Individual provider Active NPI

Graycesarah M Steele

  • Community Health Worker
  • Hilliard, OH
National Provider Identifier
1396327854
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
2518172 Issued in OH
Practice address
5562 Blue Lagoon LN
Hilliard, OH 43026-9030
Phone
(614) 360-8409
NPI assigned
Apr 24, 2021
Last updated
Apr 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 2518172 OH Primary

Addresses

Primary practice location

5562 Blue Lagoon LN
Hilliard, OH 43026-9030

Mailing address

5562 Blue Lagoon LN
Hilliard, OH 43026-9030
Phone (614) 360-8409

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HIE Health Information Exchange (HIE)

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
2518172OHMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1396327854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 BLUE LAGOON LN",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269030",
            "telephone_number": "614-360-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 BLUE LAGOON LN",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269030",
            "telephone_number": "614-360-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "GRAYCESARAH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "2518172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "Healthcare Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5562 Blue Lagoon Ln",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430269030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.