Organization Active NPI

By Andrea D.

  • Prosthetist
  • Cincinnati, OH
National Provider Identifier
1629590799
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
BY ANDREA D.
Practice address
2834 Almester Dr
Cincinnati, OH 45211-7603
Phone
(513) 560-9624
Fax
(513) 389-1605
NPI assigned
Jul 11, 2017
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Andrea WorthamNPI 1568169852
Title
Owner
Phone
(513) 560-9624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2834 Almester Dr
Cincinnati, OH 45211-7603

Mailing address

2834 Almester Dr
Cincinnati, OH 45211-7603
Phone (513) 560-9624

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1629590799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 ALMESTER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452117603",
            "telephone_number": "513-560-9624",
            "fax_number": "513-389-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 ALMESTER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452117603",
            "telephone_number": "513-560-9624",
            "fax_number": "513-389-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY ANDREA D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "WORTHAM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-560-9624"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.