Individual provider Active NPI

Sarah Michelle Bookshar

  • Nurse's Aide
  • Elyria, OH
National Provider Identifier
1750629655
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401102940610 Issued in OH
Practice address
421 Foster Ave
Apt B302
Elyria, OH 44035-3578
Phone
(908) 652-1242
NPI assigned
Jan 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401102940610 OH Primary

Addresses

Primary practice location

421 Foster Ave
Apt B302
Elyria, OH 44035-3578

Mailing address

421 Foster Ave
Apt. B302
Elyria, OH 44035-3578
Phone (908) 652-1242

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

LicenseStateTypeSpecialty
401102940610OHMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1750629655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FOSTER AVE",
            "address_2": "APT. B302",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440353578",
            "telephone_number": "908-652-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FOSTER AVE",
            "address_2": "APT B302",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440353578",
            "telephone_number": "908-652-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKSHAR",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401102940610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.