Individual provider Active NPI

Dawn Atugonza

  • Home Health Aide
  • Whitehouse, OH
National Provider Identifier
1417497553
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
401152971010 Issued in OH
Practice address
6864 Westwyck Dr
Whitehouse, OH 43571-9266
Phone
(419) 708-8364
NPI assigned
Mar 7, 2017
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
401152971010OHMDHome Health Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 401152971010 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

6864 Westwyck Dr
Whitehouse, OH 43571-9266

Mailing address

6864 Westwyck Dr
Whitehouse, OH 43571-9266
Phone (419) 708-8364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2017.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1417497553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6864 WESTWYCK DR",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719266",
            "telephone_number": "419-708-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6864 WESTWYCK DR",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719266",
            "telephone_number": "419-708-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUGONZA",
        "first_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "401152971010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.