Active NPI
Faye Lavern Carson, HOME HEALTH AIDE
- Home Health Aide
- Columbus, OH
National Provider Identifier
1548669484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2732878
- Practice address
- 939 Bryden Rd Apt 13
Columbus, OH 43205-1843 - Phone
- (614) 294-2815
- NPI assigned
- Aug 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2732878 | OH | Primary |
Addresses
Primary practice location
939 Bryden Rd Apt 13
Columbus, OH 43205-1843
Mailing address
939 Bryden Rd Apt 13
Columbus, OH 43205-1843
Phone (614) 284-2815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2732878 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2732878 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408147200000",
"number": "1548669484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 BRYDEN RD APT 13",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051843",
"telephone_number": "614-284-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 BRYDEN RD APT 13",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051843",
"telephone_number": "614-294-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "FAYE",
"middle_name": "LAVERN",
"credential": "HOME HEALTH AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-16",
"last_updated": "2014-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2732878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2732878",
"state": "OH"
}
],
"endpoints": [],
"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 Aug 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.