Individual provider Active NPI

Bettie Maddrix

  • Home Health Aide
  • Columbus, OH
National Provider Identifier
1497351910
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2350 Sawmill Place Blvd
Columbus, OH 43235-5198
Phone
(614) 726-9165
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

2350 Sawmill Place Blvd
Columbus, OH 43235-5198

Mailing address

7734 Larch LN
Dublin, OH 43016-7741

Other identifiers 1

IdentifierTypeStateIssuer
2079003MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bettiemaddrix@att.net
Direct Messaging Address bettiemaddrix@att.net

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1497351910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 LARCH LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SAWMILL PLACE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355198",
            "telephone_number": "614-726-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDRIX",
        "first_name": "BETTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079003",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bettiemaddrix@att.net",
            "affiliation": "N",
            "address_1": "7734 Larch Ln",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430167741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bettiemaddrix@att.net",
            "affiliation": "N",
            "address_1": "2350 Sawmill Place Blvd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432355198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.