Individual provider Active NPI

Vaniety Cherelle Reid, HAIR PRACTITIONER

  • Prosthetics Case Management
  • Whitehall, OH
National Provider Identifier
1851714182
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
5160 East Main St
Loft 26
Whitehall, OH 43213
Phone
(330) 941-0493
Fax
(614) 298-4025
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

5160 East Main St
Loft 26
Whitehall, OH 43213

Mailing address

6321 James Rouse Blvd
Canal Winchester, OH 43110-9676

Other practice location 1

6056 Channingway Blvd
Columbus, OH 43232-2901
Phone (614) 636-0067

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Indulgence Beauty CurrentSince May 25, 2021 Accepting new patients

Locations

5160 E Main St
#26
Whitehall, OH 43213
Phone (330) 941-0493

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1851714182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 JAMES ROUSE BLVD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 EAST MAIN ST",
            "address_2": "LOFT 26",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "330-941-0493",
            "fax_number": "614-298-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6056 Channingway Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432322901",
            "country_code": "US",
            "telephone_number": "614-636-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "VANIETY",
        "middle_name": "CHERELLE",
        "credential": "HAIR PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.