Individual provider Active NPI

Sahara Jewel Penhorwood, RBT

  • Technician/Technologist
  • Columbus, OH
National Provider Identifier
1760142251
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
3443 Agler Rd Ste 103
Columbus, OH 43219-3385
Phone
(248) 720-8196
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X Primary
Behavior Technician 106S00000X RBT-21-197917 OH

Addresses

Primary practice location

3443 Agler Rd Ste 103
Columbus, OH 43219-3385

Mailing address

3443 Agler Rd Ste 103
Columbus, OH 43219-3385
Phone (248) 720-8196

Other practice location 1

6085 Emerald Pkwy
Dublin, OH 43016-3269
Phone (614) 482-4300

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
RBT-21-197917OHMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1760142251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 AGLER RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193385",
            "telephone_number": "248-720-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 AGLER RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193385",
            "telephone_number": "248-720-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6085 Emerald Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430163269",
            "country_code": "US",
            "telephone_number": "614-482-4300",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENHORWOOD",
        "first_name": "SAHARA",
        "middle_name": "JEWEL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-21-197917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.