Active NPI
Tammy Carter
- In Home Supportive Care Agency
- Vermilion, OH
National Provider Identifier
1407463532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 5503 Hartford Ave
Vermilion, OH 44089-1227 - Phone
- (440) 653-3093
- NPI assigned
- Sep 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.069707.MEDS | OH | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5503 Hartford Ave
Vermilion, OH 44089-1227
Mailing address
5503 Hartford Ave
Vermilion, OH 44089-1227
Phone (440) 653-3093
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 |
|---|---|---|---|
| LPN.069707.MEDS | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1407463532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 HARTFORD AVE",
"city": "VERMILION",
"state": "OH",
"postal_code": "440891227",
"telephone_number": "440-653-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 HARTFORD AVE",
"city": "VERMILION",
"state": "OH",
"postal_code": "440891227",
"telephone_number": "440-653-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TAMMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.069707.MEDS",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vermilion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.