Active NPI
Sharon Kay Tilley, HHAIDE
- Home Health Aide
- Wheelersburg, OH
National Provider Identifier
1457560773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2708725
- Practice address
- 10262 Gallia Pike
Wheelersburg, OH 45694 - Phone
- (740) 574-1079
- NPI assigned
- May 22, 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 | 2708725 | OH | Primary |
Addresses
Primary practice location
10262 Gallia Pike
Wheelersburg, OH 45694
Mailing address
10262 Gallia Pike Rd
Wheelersburg, OH 45694-8435
Phone (740) 250-3272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 733050929501 | Medicaid | OH |
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 |
|---|---|---|---|
| 2708725 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457560773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10262 GALLIA PIKE RD",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456948435",
"telephone_number": "740-250-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10262 GALLIA PIKE",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "45694",
"telephone_number": "740-574-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLEY",
"first_name": "SHARON",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "HHAIDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2708725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "733050929501",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheelersburg, 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.