Active NPI
Amy Byrne
- Homemaker
- Lyndhurst, OH
National Provider Identifier
1790403335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 2084 Edenhall Dr
Lyndhurst, OH 44124-3828 - Phone
- (216) 548-1144
- NPI assigned
- Aug 19, 2022
- Last updated
- Aug 19, 2022
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | ||
| Homemaker | 376J00000X | NU | Primary | |
| Driver | 172A00000X | RJ802909 | OH |
Addresses
Primary practice location
2084 Edenhall Dr
Lyndhurst, OH 44124-3828
Mailing address
4785 Edenwood Rd
South Euclid, OH 44121-3843
Phone (216) 548-1144
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 |
|---|---|---|---|
| RJ802909 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1790403335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4785 EDENWOOD RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213843",
"telephone_number": "216-548-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 EDENHALL DR",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441243828",
"telephone_number": "216-548-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RJ802909",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.