NPIMap

Organization Active NPI

Equitas Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
National Provider Identifier
1467150086
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EQUITAS HEALTH, INC
Doing business as
Equitas Health, Inc
Practice address
636 W Exchange St
Akron, OH 44302-1306
Phone
(833) 378-4827
Fax
(800) 222-8164
NPI assigned
Feb 22, 2023
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EQUITAS HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Karen Shepherd
Title
Director Revenue Cycle
Phone
(833) 378-4827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

636 W Exchange St
Akron, OH 44302-1306

Mailing address

1105 Schrock Rd Ste 400
Columbus, OH 43229-1174
Phone (833) 378-4827

Other identifiers 1

IdentifierTypeStateIssuer
0020994MedicaidOH

Other names 1

  • Equitas Health, Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@equitashealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120830000276 OH Part B Supplier - Clinic/Group Practice 2769638154 Receives reassigned benefits from 59 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Toledo, OH; Portsmouth, OH; Dayton, OH; Cincinnati, OH; Athens, OH; Akron, OH
O20230719002148 OH Part A Provider - Federally Qualified Health Center (FQHC) 2769638154 Practice locations: Akron, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467150086. Details of each certification follow.

Federally qualified health center certification: CCN D21008

Legal name
EQUITAS HEALTH,INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 7, 2023
Last certification
Jul 7, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 26, 1984 in OH
Enrollment address
636 W Exchange St
Akron, OH 44302-1306

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
AIDS Resource Center Ohio Inc7 organizations share this tax ID, including this one
Part of
AIDS Resource Center Ohio Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3450 W Central Ave
Ste 104
Toledo, OH 43606
Phone (833) 378-4827

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Jean Shepherd Individual Corporate DirectorDirector of Revenue Jul 1, 2022
Souad Aouragh Individual Operational/Managerial ControlRevenue Cycle Manager Oct 1, 2013
Mareva Page Individual Corporate OfficerChief Financial Officer Mar 3, 2020

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Equitas Health,IncToledo, OH, CCN D21059 Federally qualified health center Operational/Managerial Control Apr 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1467150086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291174",
            "telephone_number": "833-378-4827",
            "fax_number": "800-222-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W EXCHANGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021306",
            "telephone_number": "833-378-4827",
            "fax_number": "800-222-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUITAS HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EQUITAS HEALTH, INC",
        "enumeration_date": "2023-02-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "833-378-4827"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020994",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@equitashealth.com",
            "affiliation": "N",
            "endpointDescription": "credentialing department email",
            "address_1": "636 W Exchange St",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443021306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Equitas Health, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.