Active NPI
Laureen Marie Patko
- Home Health Aide
- Tipp City, OH
National Provider Identifier
1578787974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 550 Surrey Dr
Tipp City, OH 45371-2207 - Phone
- (937) 506-2099
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
550 Surrey Dr
Tipp City, OH 45371-2207
Mailing address
820 Chaucer LN
Tipp City, OH 45371-9337
Phone (937) 339-3058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2668644 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578787974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 CHAUCER LN",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453719337",
"telephone_number": "937-339-3058",
"fax_number": "937-849-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SURREY DR",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453712207",
"telephone_number": "937-506-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATKO",
"first_name": "LAUREEN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"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": "2668644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tipp City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.