Individual provider Active NPI

Pamela Lynn Kubit

  • Home Health Registered Nurse
  • Parma, OH
National Provider Identifier
1760535546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2271812 Issued in OH
Practice address
6905 Ridge Rd
3H
Parma, OH 44129-5648
Phone
(440) 743-0062
Fax
(440) 743-0062
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2271812 OH Primary

Addresses

Primary practice location

6905 Ridge Rd
3H
Parma, OH 44129-5648

Mailing address

3372 W 91St St
Cleveland, OH 44102-4861
Phone (216) 651-8943

Other identifiers 1

IdentifierTypeStateIssuer
2271812OtherOHPERSONAL IDENTIFICATION #

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
2271812OHMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760535546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 W 91ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024861",
            "telephone_number": "216-651-8943",
            "fax_number": "440-743-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 RIDGE RD",
            "address_2": "3H",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295648",
            "telephone_number": "440-743-0062",
            "fax_number": "440-743-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIT",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "2271812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL IDENTIFICATION #",
            "identifier": "2271812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, 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.

Verify at the official NPI Registry.