Active NPI
Christina Sergakis
- Homemaker
- Westerville, OH
National Provider Identifier
1770015711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- M2569635
- Practice address
- 5392 Rufford St
Westerville, OH 43081-6029 - Phone
- (614) 849-8618
- NPI assigned
- Mar 29, 2017
- 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 | M2569635 | OH | Primary |
Addresses
Primary practice location
5392 Rufford St
Westerville, OH 43081-6029
Mailing address
5392 Rufford St
Westerville, OH 43081-6029
Phone (614) 849-8618
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106545118799 | Medicaid | OH | |
| M2569635 | Other | OH | DODD CONTRACT PROVIDER NUMBER |
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 |
|---|---|---|---|
| M2569635 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1770015711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5392 RUFFORD ST",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816029",
"telephone_number": "614-849-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5392 RUFFORD ST",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816029",
"telephone_number": "614-849-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGAKIS",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "M2569635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106545118799",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD CONTRACT PROVIDER NUMBER",
"identifier": "M2569635",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.