Active NPI
Keily Balduff
- Case Manager/Care Coordinator
- Amherst, OH
National Provider Identifier
1679083828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 554 N Leavitt Rd
Amherst, OH 44001-1131 - Phone
- (440) 983-3882
- Fax
- (419) 557-5179
- NPI assigned
- Oct 2, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
554 N Leavitt Rd
Amherst, OH 44001-1131
Mailing address
554 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 983-3882
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": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1679083828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 N LEAVITT RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011131",
"telephone_number": "440-983-3882",
"fax_number": "419-557-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 N LEAVITT RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011131",
"telephone_number": "440-983-3882",
"fax_number": "419-557-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDUFF",
"first_name": "KEILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.