Active NPI
Veronica Washington
- Nurse's Aide
- Elyria, OH
National Provider Identifier
1780922369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401193540111
- Practice address
- 304 Foster Ave
Elyria, OH 44035-3520 - Phone
- (225) 247-9198
- NPI assigned
- Jan 16, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 4703119 | OH | |
| Homemaker | 376J00000X | 4703119 | OH | |
| Nurse's Aide | 376K00000X | 401193540111 | OH | Primary |
Addresses
Primary practice location
304 Foster Ave
Elyria, OH 44035-3520
Mailing address
PO Box 698
Elyria, OH 44036-0698
Phone (225) 247-9198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060272 | Other | OH | ODJFS MEDICAID 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 |
|---|---|---|---|
| 4703119 | OH | MD | Homemaker |
| 401193540111 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1780922369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440360698",
"telephone_number": "225-247-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 FOSTER AVE",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440353520",
"telephone_number": "225-247-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "VERONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "4703119",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "4703119",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401193540111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODJFS MEDICAID PROVIDER NUMBER",
"identifier": "0060272",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.