Individual provider Active NPI

Joanne A Trabold

  • Home Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1457562506
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN182593 Issued in OH
Practice address
6406 Deer Ridge LN
Columbus, OH 43229-2014
Phone
(614) 895-7305
Fax
(614) 899-9334
NPI assigned
May 24, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN182593 OH Primary

Addresses

Primary practice location

6406 Deer Ridge LN
Columbus, OH 43229-2014

Mailing address

6406 Deer Ridge LN
Columbus, OH 43229-2014
Phone (614) 895-7305

Other identifiers 1

IdentifierTypeStateIssuer
2200344MedicaidOH

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
RN182593OHMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457562506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 DEER RIDGE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292014",
            "telephone_number": "614-895-7305",
            "fax_number": "614-899-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 DEER RIDGE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292014",
            "telephone_number": "614-895-7305",
            "fax_number": "614-899-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABOLD",
        "first_name": "JOANNE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN182593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.