Active NPI
Marie Susan Cabreros Buenavides
- Homemaker
- West Chester, OH
National Provider Identifier
1679149140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 0093545
- Practice address
- 8050 Beckett Center Dr Ste 304
West Chester, OH 45069-5027 - Phone
- (513) 500-2500
- Fax
- (513) 847-4882
- NPI assigned
- Jun 3, 2021
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 0093545 | OH | Primary |
Addresses
Primary practice location
8050 Beckett Center Dr Ste 304
West Chester, OH 45069-5027
Mailing address
8050 Beckett Center Dr Ste 304
West Chester, OH 45069-5027
Phone (513) 500-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093545 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0093545 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1679149140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 BECKETT CENTER DR STE 304",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450695027",
"telephone_number": "513-500-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 BECKETT CENTER DR STE 304",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450695027",
"telephone_number": "513-500-2500",
"fax_number": "513-847-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENAVIDES",
"first_name": "MARIE",
"middle_name": "SUSAN CABREROS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "0093545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0093545",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.