Connie Sue Ankrom

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

34185 Miltonsburg Calais Rd
Woodsfield, OH 43793-9213

Phone

(740) 213-8427

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2021.

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1538758917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34185 MILTONSBURG CALAIS RD",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437939213",
            "telephone_number": "740-213-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34185 MILTONSBURG CALAIS RD",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437939213",
            "telephone_number": "740-213-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKROM",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "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": "00000000000",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rick.connie@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34185 Miltonsburg Calais Rd",
            "city": "Woodsfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437939213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Als Monroe County, Inc
• Rana Ann Anderson, P.T.
• Katrina Ashby
• Kenneth James Bable Jr.
• Meghan Bagnell, PTA
• Raquel Bahmer
• Kimberly Baker

• All providers in Woodsfield, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.