Active NPI
Goldie Smith
- Home Health Aide
- Village of Indian Springs, OH
National Provider Identifier
1770969222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1941 Parrish Ave
Village of Indian Springs, OH 45015-1250 - Phone
- (513) 487-9436
- NPI assigned
- Aug 7, 2015
- Last updated
- Aug 7, 2015
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1941 Parrish Ave
Village of Indian Springs, OH 45015-1250
Mailing address
1941 Parrish Ave
Village of Indian Springs, OH 45015-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3140121 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1770969222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 PARRISH AVE",
"city": "VILLAGE OF INDIAN SPRINGS",
"state": "OH",
"postal_code": "450151250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 PARRISH AVE",
"city": "VILLAGE OF INDIAN SPRINGS",
"state": "OH",
"postal_code": "450151250",
"telephone_number": "513-487-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GOLDIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3140121",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Village of Indian Springs, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.