Individual provider Active NPI

Aretha Taylor

  • Nurse's Aide
  • Cleveland, OH
National Provider Identifier
1447709035
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
0175060 Issued in OH
Practice address
6827 Forman Ave
Cleveland, OH 44105-1419
Phone
(216) 376-5050
NPI assigned
Sep 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 0175060 OH Primary

Addresses

Primary practice location

6827 Forman Ave
Cleveland, OH 44105-1419

Mailing address

6827 Forman Ave
Cleveland, OH 44105-1419
Phone (216) 376-5050

Other identifiers 1

IdentifierTypeStateIssuer
0175060OtherOHOHIO DEPARTMENT OF MEDICAID

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
0175060OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1447709035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 FORMAN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051419",
            "telephone_number": "216-376-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 FORMAN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051419",
            "telephone_number": "216-376-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ARETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "0175060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF MEDICAID",
            "identifier": "0175060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.