Active NPI
Susan Hamann, COTA/L
- Nursing Care Agency
- Mason, OH
National Provider Identifier
1841559119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 02494
- Practice address
- 8650 Governors Hill
180
Mason, OH 45429 - Phone
- (513) 791-5766
- NPI assigned
- May 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 02494 | OH | Primary |
Addresses
Primary practice location
8650 Governors Hill
180
Mason, OH 45429
Mailing address
6754 Birdsong Way
Maineville, OH 45039
Phone (513) 373-0117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02494 | 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 |
|---|---|---|---|
| 02494 | OH | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1841559119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6754 BIRDSONG WAY",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "45039",
"telephone_number": "513-373-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 GOVERNORS HILL",
"address_2": "180",
"city": "MASON",
"state": "OH",
"postal_code": "45429",
"telephone_number": "513-791-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMANN",
"first_name": "SUSAN",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-08",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "OH",
"license": "02494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02494",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.