Active NPI
Dawn M Blake
- Home Health Aide
- Roseville, OH
National Provider Identifier
1437371077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 100 1/2 Old Rainer Road
Roseville, OH 43777 - Phone
- (740) 697-0687
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
100 1/2 Old Rainer Road
Roseville, OH 43777
Mailing address
229 High St
Roseville, OH 43777-1113
Phone (740) 697-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2609878 | Other | OH | INDEPENDANT PROVIDER NUMB |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437371077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 HIGH ST",
"city": "ROSEVILLE",
"state": "OH",
"postal_code": "437771113",
"telephone_number": "740-697-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 1/2 OLD RAINER ROAD",
"city": "ROSEVILLE",
"state": "OH",
"postal_code": "43777",
"telephone_number": "740-697-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "DAWN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDANT PROVIDER NUMB",
"identifier": "2609878",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.