Active NPI
Sondra Stallworth
- Home Health Aide
- Blue Ash, OH
National Provider Identifier
1720675267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 3122981
- Practice address
- 9211 Deercross Pkwy
Blue Ash, OH 45236-4532 - Phone
- (513) 344-0233
- NPI assigned
- Dec 30, 2020
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 3122981 | OH | Primary |
Addresses
Primary practice location
9211 Deercross Pkwy
Blue Ash, OH 45236-4532
Mailing address
12115 Sycamore Terrace Dr Apt B
Cincinnati, OH 45249-8164
Phone (513) 739-6157
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 |
|---|---|---|---|
| 3122981 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1720675267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12115 SYCAMORE TERRACE DR APT B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452498164",
"telephone_number": "513-739-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 DEERCROSS PKWY",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452364532",
"telephone_number": "513-344-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLWORTH",
"first_name": "SONDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "3122981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.