Active NPI
Seletta Monique Woods, STNA
- Personal Care Attendant
- Youngstown, OH
National Provider Identifier
1801139183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 0075087
- Practice address
- 416 Ferndale Ave
Youngstown, OH 44511-3206 - Phone
- (330) 787-7879
- NPI assigned
- Apr 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 0075087 | OH | Primary |
| Nurse's Aide | 376K00000X | 501093730406 | OH |
Addresses
Primary practice location
416 Ferndale Ave
Youngstown, OH 44511-3206
Mailing address
416 Ferndale Ave
Youngstown, OH 44511-3206
Phone (330) 787-7879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0075087 | 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 |
|---|---|---|---|
| 0075087 | OH | MD | Personal Care Attendant |
| 501093730406 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1801139183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 FERNDALE AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113206",
"telephone_number": "330-787-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 FERNDALE AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113206",
"telephone_number": "330-787-7879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "SELETTA",
"middle_name": "MONIQUE",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "0075087",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "501093730406",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0075087",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.