Individual provider Active NPI

Shari Lee Baxter

  • Personal Care Attendant
  • Richwood, OH
National Provider Identifier
1508468711
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
0000258597 Issued in OH
Practice address
99 Lynn St
Richwood, OH 43344-1137
Phone
(740) 225-2087
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 0000258597 OH Primary

Addresses

Primary practice location

99 Lynn St
Richwood, OH 43344-1137

Mailing address

7079 Prospect Dublin Rd
Prospect, OH 43342-9553
Phone (740) 225-2087

Other practice location 1

7079 Prospect Dublin Rd
Prospect, OH 43342-9553
Phone (740) 225-2087

Other identifiers 1

IdentifierTypeStateIssuer
0000258597MedicaidOH

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

LicenseStateTypeSpecialty
0000258597OHMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1508468711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7079 PROSPECT DUBLIN RD",
            "city": "PROSPECT",
            "state": "OH",
            "postal_code": "433429553",
            "telephone_number": "740-225-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LYNN ST",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433441137",
            "telephone_number": "740-225-2087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7079 Prospect Dublin Rd",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "OH",
            "postal_code": "433429553",
            "country_code": "US",
            "telephone_number": "740-225-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "SHARI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "0000258597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000258597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.