Active NPI
Tiffany Nicole Grays-White
- Home Health Aide
- South Euclid, OH
National Provider Identifier
1851710198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4041 Okalona Rd
South Euclid, OH 44121-2623 - Phone
- (216) 310-6438
- NPI assigned
- Apr 15, 2014
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | OH | Primary |
Addresses
Primary practice location
4041 Okalona Rd
South Euclid, OH 44121-2623
Mailing address
4041 Okalona Rd
South Euclid, OH 44121-2623
Phone (216) 310-6438
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3747A0650X | Medicaid | OH | |
| 3747P1801X | Medicaid | OH | |
| 374U00000X | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1851710198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 OKALONA RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212623",
"telephone_number": "216-310-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 OKALONA RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212623",
"telephone_number": "216-310-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYS-WHITE",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3747A0650X",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3747P1801X",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374U00000X",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.