Active NPI
Amy Smigelski
Doing business as Healthy Independence
- Durable Medical Equipment & Medical Supplies
- Northfield, OH
National Provider Identifier
1407039902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2842777 | Medicaid | OH |
Other names 1
- Healthy Independence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043861 | OH | DME Supplier - Pedorthic Personnel | 6305042557 | Practice locations: Northfield, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Healthy Independence LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.