Active NPI
Kathy L Budzicki
- Personal Care Attendant
- Mentor, OH
National Provider Identifier
1629664958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 7155 Hart St Apt A1
Mentor, OH 44060-4936 - Phone
- (440) 650-6770
- NPI assigned
- Dec 21, 2020
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | OH | Primary |
Addresses
Primary practice location
7155 Hart St Apt A1
Mentor, OH 44060-4936
Mailing address
7155 Hart St Apt A1
Mentor, OH 44060-4936
Phone (440) 650-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M4301875 | 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": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1629664958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 HART ST APT A1",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604936",
"telephone_number": "440-650-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 HART ST APT A1",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604936",
"telephone_number": "440-650-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDZICKI",
"first_name": "KATHY",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M4301875",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.