Active NPI
Michelle Renee' Egleberry, LPN
- Home Health Aide
- Reynoldsburg, OH
National Provider Identifier
1467584995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 7441 Sabre Ave
Reynoldsburg, OH 43068-1845 - Phone
- (614) 759-0870
- NPI assigned
- Mar 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | OH | Primary | |
| Licensed Practical Nurse | 164W00000X | PN126606 | OH |
Addresses
Primary practice location
7441 Sabre Ave
Reynoldsburg, OH 43068-1845
Mailing address
7441 Sabre Ave
Reynoldsburg, OH 43068-1845
Phone (614) 759-0870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104396 | Medicaid | OH | |
| 105643189199 | 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 |
|---|---|---|---|
| PN126606 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1467584995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7441 SABRE AVE",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681845",
"telephone_number": "614-759-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7441 SABRE AVE",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681845",
"telephone_number": "614-759-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLEBERRY",
"first_name": "MICHELLE",
"middle_name": "RENEE'",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN126606",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104396",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105643189199",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.