Active NPI
Angela Covert
- Home Health Aide
- Canton, OH
National Provider Identifier
1669780144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1807 42ND St NW
Canton, OH 44709-1767 - Phone
- (330) 705-3485
- NPI assigned
- Sep 19, 2010
- Last updated
- Mar 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary | |
| Licensed Practical Nurse | 164W00000X | PN136192 | OH |
Addresses
Primary practice location
1807 42ND St NW
Canton, OH 44709-1767
Mailing address
340 Eastwind Cir NW
North Canton, OH 44720-8365
Phone (330) 354-0783
Other practice location 1
340 Eastwind Cir NW
North Canton, OH 44720-8365
Phone (330) 354-0783
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN136192 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1669780144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 EASTWIND CIR NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447208365",
"telephone_number": "330-354-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 42ND ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447091767",
"telephone_number": "330-705-3485"
}
],
"practiceLocations": [
{
"address_1": "340 Eastwind Cir NW",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447208365",
"country_code": "US",
"telephone_number": "330-354-0783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVERT",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-19",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN136192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.