Active NPI
Mary Anne Davis, HOME HEALTH
- Homemaker
- Springfield, OH
National Provider Identifier
1750432134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 2318343
- Practice address
- 2266 Seminole Ave
Springfield, OH 45506-3241 - Phone
- (937) 284-7664
- Fax
- (937) 284-7664
- NPI assigned
- Jan 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2318343 | OH | Primary |
Addresses
Primary practice location
2266 Seminole Ave
Springfield, OH 45506-3241
Mailing address
2266 Seminole Ave
Springfield, OH 45506-3241
Phone (937) 284-7664
Other names 1
- Miss Mary Anne Dyke
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 |
|---|---|---|---|
| 2318343 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750432134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2266 SEMINOLE AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455063241",
"telephone_number": "937-284-7664",
"fax_number": "937-284-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2266 SEMINOLE AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455063241",
"telephone_number": "937-284-7664",
"fax_number": "937-284-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "HOME HEALTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "2318343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DYKE",
"middle_name": "ANNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.