Organization Active NPI

Amy Smigelski

Doing business as Healthy Independence

  • Durable Medical Equipment & Medical Supplies
  • Northfield, OH
National Provider Identifier
1407039902
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMY SMIGELSKI
Doing business as
Healthy Independence
Practice address
9821 Olde 8 Rd
D2
Northfield, OH 44067-1468
Phone
(866) 940-4946
Fax
(866) 940-4947
NPI assigned
Dec 7, 2007
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Amy Smigelski
Title
Owner
Phone
(866) 940-4946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

9821 Olde 8 Rd
D2
Northfield, OH 44067-1468

Mailing address

9821 Olde 8 Rd
D2
Northfield, OH 44067-1468
Phone (866) 940-4946

Other identifiers 1

IdentifierTypeStateIssuer
2842777MedicaidOH

Other names 1

  • Healthy Independence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930043861 OH DME Supplier - Pedorthic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 6305042557 Practice locations: Northfield, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthy Independence LLC9821 Olde 8 Rd, Northfield, OH 44067-1456(330) 468-0883 Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Cus… Accepts assignmentParticipating since Jan 31, 2008

National Provider Directory

National Provider Directory

Locations

115 W Aurora Rd
Northfield, OH 44067
Phone (866) 940-4946

9821 Olde 8 Rd
Ste D2
Northfield, OH 44067
Phone (330) 468-0883

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1407039902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 OLDE 8 RD",
            "address_2": "D2",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671468",
            "telephone_number": "866-940-4946",
            "fax_number": "866-940-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 OLDE 8 RD",
            "address_2": "D2",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671468",
            "telephone_number": "866-940-4946",
            "fax_number": "866-940-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY SMIGELSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "SMIGELSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-940-4946"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2842777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.