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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 1, 2024.

{
    "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

All providers in Lisbon, OH · Personal Care Attendant in Ohio

Sources for this page

Verify at the official NPI Registry.