Active NPI
Brendy Hixon
- Case Manager/Care Coordinator
- Mineral Ridge, OH
National Provider Identifier
1730824145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1960 E County Line Rd
Mineral Ridge, OH 44440-9451 - Phone
- (800) 409-2729
- NPI assigned
- Apr 29, 2022
- Reactivated
- Jun 22, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1960 E County Line Rd
Mineral Ridge, OH 44440-9451
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2615030 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brendyhixon@gmail.com |
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": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1730824145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E DUBLIN GRANVILLE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853192",
"telephone_number": "614-844-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 E COUNTY LINE RD",
"city": "MINERAL RIDGE",
"state": "OH",
"postal_code": "444409451",
"telephone_number": "800-409-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIXON",
"first_name": "BRENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-29",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"deactivation_date": "2022-04-30",
"reactivation_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2615030",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brendyhixon@gmail.com",
"affiliation": "N",
"address_1": "3335 Lodwick Dr NW",
"city": "Warren",
"state": "OH",
"country_code": "US",
"postal_code": "444851568",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mineral Ridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.