Danielle Prostak, STNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

401460691112 Issued in OH

Practice address

1010 E 346TH St
Eastlake, OH 44095-2629

Phone

(440) 853-9437

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1548779267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E 346TH ST",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 346TH ST",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952629",
            "telephone_number": "440-853-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSTAK",
        "first_name": "DANIELLE",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "401460691112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401460691112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience N Virtues Loving Home Healthcare
• Mallorie Grace Piazza
• Cyrenthia P Pouge
• Lauri Powaski
• Veronica Pritchett
• Kelly Prymicz, PHARMD
• Nadia Rahman, O.D
• Joseph D Reising
• Kristin E Reynolds
• Jared Rice

• Home Health Aide in Eastlake, OH
• Providers in Eastlake, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.