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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2023.

{
    "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

All providers in Washington Court House, OH · Home Health Aide in Ohio

Sources for this page

Verify at the official NPI Registry.