Active NPI
Heather Knisley
- Home Health Aide
- Ravenna, OH
National Provider Identifier
1821213869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2623638
- Practice address
- 3281 Terrace Dr
Ravenna, OH 44266-9010 - Phone
- (330) 620-7382
- NPI assigned
- Apr 16, 2007
- 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 | 2623638 | OH | Primary |
Addresses
Primary practice location
3281 Terrace Dr
Ravenna, OH 44266-9010
Mailing address
3281 Terrace Dr
Ravenna, OH 44266-9010
Phone (330) 620-7382
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 |
|---|---|---|---|
| 2623638 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821213869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3281 TERRACE DR",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442669010",
"telephone_number": "330-620-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3281 TERRACE DR",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442669010",
"telephone_number": "330-620-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNISLEY",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2623638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.