Estella Averette

Key facts

NPI

1487212890

Entity type

Individual (NPI type 1)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Practice address

2525 Tiller LN Ste 110
Columbus, OH 43231-2267

Phone

(614) 305-5151

Fax

(614) 283-5084

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Albany Home Health Solutions, LLC. In Home Supportive Care Agency · Westerville, OH · NPI 1235720400
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 31, 2019.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1487212890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TILLER LN STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312267",
            "telephone_number": "614-305-5151",
            "fax_number": "614-283-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TILLER LN STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312267",
            "telephone_number": "614-305-5151",
            "fax_number": "614-283-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERETTE",
        "first_name": "ESTELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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