Individual provider Active NPI

Carah McKenna-Brady Pollmann

  • Child Physical Disabilities Respite Care
  • Newark, OH
National Provider Identifier
1457953770
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
Practice address
318 N Heather Dr
Newark, OH 43055-9401
Phone
(740) 975-2645
NPI assigned
Nov 11, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X NU Primary

Addresses

Primary practice location

318 N Heather Dr
Newark, OH 43055-9401

Mailing address

318 N Heather Dr
Newark, OH 43055-9401
Phone (740) 975-2645

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1457953770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N HEATHER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559401",
            "telephone_number": "740-975-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N HEATHER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559401",
            "telephone_number": "740-975-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLMANN",
        "first_name": "CARAH",
        "middle_name": "MCKENNA-BRADY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.