Gwendolyn Roberts

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2148 County Road 15
Rayland, OH 43943-7917

Phone

(740) 733-7209

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1629456785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 COUNTY ROAD 15",
            "city": "RAYLAND",
            "state": "OH",
            "postal_code": "439437917",
            "telephone_number": "740-733-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 COUNTY ROAD 15",
            "city": "RAYLAND",
            "state": "OH",
            "postal_code": "439437917",
            "telephone_number": "740-733-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102768094999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Fuchs, LPCC-S
• Ericca Lynnmarie Fulmer, NP
• Shawnna Hollie Merrill, MSW
• Rayland Volunteer Fire Department (Rayland VFD)
• Tana Kay Renner, APRN, CNP
• Carla Ruth Robinson, RN
• Anne Buckley Rossignol, M.D.
• Lindsay Spell
• Valley Hospice Inc. (Valley Hospice)
• Valley Hospice Inc.

• Home Health Aide in Rayland, OH
• Providers in Rayland, 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 May 11, 2015; 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.