Active NPI
Rebecca Gebhardt
- Home Health Aide
- Xenia, OH
National Provider Identifier
1770190761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2904576
- Practice address
- 63 S Detroit St Apt 3
Xenia, OH 45385-3691 - Phone
- (513) 600-3949
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2904576 | OH | Primary |
Addresses
Primary practice location
63 S Detroit St Apt 3
Xenia, OH 45385-3691
Mailing address
63 S Detroit St Apt 3
Xenia, OH 45385-3691
Phone (513) 600-3949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2904576 | Medicaid | OH |
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 |
|---|---|---|---|
| 2904576 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1770190761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 S DETROIT ST APT 3",
"city": "XENIA",
"state": "OH",
"postal_code": "453853691",
"telephone_number": "513-600-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 S DETROIT ST APT 3",
"city": "XENIA",
"state": "OH",
"postal_code": "453853691",
"telephone_number": "513-600-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHARDT",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2904576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2904576",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.