Individual provider Active NPI

Nancy Anne Gorby, S.T.N.A

  • Personal Care Attendant
  • Delaware, OH
National Provider Identifier
1649691635
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
CHW00187 Issued in OH
Practice address
1330 Hanover Rd
Lot 110
Delaware, OH 43015-9844
Phone
(740) 363-9544
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X CHW00187 OH Primary
Nurse's Aide 376K00000X 401414250712 OH

Addresses

Primary practice location

1330 Hanover Rd
Lot 110
Delaware, OH 43015-9844

Mailing address

1330 Hanover Rd
Lot 110
Delaware, OH 43015-9844
Phone (740) 363-9544

Other identifiers 1

IdentifierTypeStateIssuer
CHW.00187OtherOHSTATE OF OHIO BOARD OF NURSING

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

State licenses

LicenseStateTypeSpecialty
CHW00187OHMDPersonal Care Attendant
401414250712OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1649691635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 HANOVER RD",
            "address_2": "LOT 110",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159844",
            "telephone_number": "740-363-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HANOVER RD",
            "address_2": "LOT 110",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159844",
            "telephone_number": "740-363-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBY",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "S.T.N.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "CHW00187",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401414250712",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO BOARD OF NURSING",
            "identifier": "CHW.00187",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.