Pamela Jean Hidy
Individual provider Active NPI Home Health Aide · Washington Court House, OH
NPI 1700577426 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1700577426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 555 Depot Dr
Washington Court House, OH 43160-8877 - Phone
- (740) 606-5453
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
555 Depot Dr
Washington Court House, OH 43160-8877
Mailing address
9971 Washington New Martinsburg Rd
Leesburg, OH 45135-8919
Phone (740) 606-5453
NPI Registry JSON
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1700577426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9971 WASHINGTON NEW MARTINSBURG RD",
"city": "LEESBURG",
"state": "OH",
"postal_code": "451358919",
"telephone_number": "740-606-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 DEPOT DR",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431608877",
"telephone_number": "740-606-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDY",
"first_name": "PAMELA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington Court House, OH
- Phyllis Hensley
- Madeline K Hess
- Aidan Isaac Hester
- Rachelle Delyn Hibbs
- Dinah Hicks
- Kristina Lynn Higgins
- Lindsey Hill
- Mark William Hodges
- Todd K Hofacker
- Vesper Holdren
All providers in Washington Court House, OH · Home Health Aide in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.