Active NPI
Erica Peacock, STNA
- Home Health Aide
- Cleveland, OH
National Provider Identifier
1477875235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 400821431008
- Practice address
- 18075 Weston Rd
Cleveland, OH 44121 - Phone
- (216) 534-5695
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 400821431008 | OH | Primary |
Addresses
Primary practice location
18075 Weston Rd
Cleveland, OH 44121
Mailing address
18075 Weston Rd
Cleveland, OH 44121
Phone (216) 534-5695
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 |
|---|---|---|---|
| 400821431008 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1477875235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18075 WESTON RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44121",
"telephone_number": "216-534-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18075 WESTON RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44121",
"telephone_number": "216-534-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "ERICA",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "400821431008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.