Lee Ann Beadnell
Individual provider Active NPI Personal Care Attendant · Lisbon, OH
NPI 1508623083 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1508623083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 807 N Market St
Lisbon, OH 44432-1021 - Phone
- (330) 271-1615
- NPI assigned
- Mar 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
807 N Market St
Lisbon, OH 44432-1021
Mailing address
807 N Market St
Lisbon, OH 44432-1021
Phone (330) 271-1615
NPI Registry JSON
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1508623083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 N MARKET ST",
"city": "LISBON",
"state": "OH",
"postal_code": "444321021",
"telephone_number": "330-271-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N MARKET ST",
"city": "LISBON",
"state": "OH",
"postal_code": "444321021",
"telephone_number": "330-271-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADNELL",
"first_name": "LEE",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisbon, OH
- Baltic Avenue Enterprises, LLC
- Teresa Barefield
- Luke Barker
- Adam Bartholomew
- Robert Malvin Beadle
- Christine Belohlavek
- Banarikammaje N. Bhat
- Leslie Biastro
- Edith M Binder
- Donna Birmingham
All providers in Lisbon, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.