Individual provider Active NPI

Melissa Kay Bibler

  • Personal Care Attendant
  • Baltimore, OH
National Provider Identifier
1396348595
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
2305468 Issued in OH
Practice address
220 Holder Rd NW
Baltimore, OH 43105-9714
Phone
(740) 412-1582
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

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
2305468OHMDPersonal Care Attendant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 2305468 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

220 Holder Rd NW
Baltimore, OH 43105-9714

Mailing address

220 Holder Rd NW
Baltimore, OH 43105-9714
Phone (740) 412-1582

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2305468MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2020.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1396348595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HOLDER RD NW",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431059714",
            "telephone_number": "740-412-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HOLDER RD NW",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431059714",
            "telephone_number": "740-412-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLER",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "2305468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.