Derekia Mahone

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

401114940710 Issued in OH

Practice address

1310 S Danley SQ
Lorain, OH 44052-2259

Phone

(440) 506-4233

NPI assigned

Jan 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Care

  • Student Health Clinic/Center
  • Lorain, OH
  • NPI 1265898134
  NPD (past) Authorized official

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1780041764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 F ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440522121",
            "telephone_number": "440-506-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S DANLEY SQ",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440522259",
            "telephone_number": "440-506-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONE",
        "first_name": "DEREKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "401114940710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Madill, PMHNP-BC, APRN
• Tyleeta J Madison, CDCA
• Christian J Maglio, QMHS BA CM BA
• Chase Mahar
• Barbara Maher, L.I.S.W.
• Lisa Marie Mahone, NP
• Kathryn Grace Maichl
• Kathryn Maimone, LISW-S
• Marisol Maissonet
• Anastasia Majoras, LPN

• Home Health Registered Nurse in Lorain, OH
• Providers in Lorain, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.