Active NPI
Kelsi Dawn Dillery
- Home Health Aide
- Sandusky, OH
National Provider Identifier
1851749097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0158377
- Practice address
- 517 Putnam St Apt 1
Sandusky, OH 44870-2163 - Phone
- (419) 239-9606
- NPI assigned
- May 27, 2016
- Last updated
- May 27, 2016
- 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 | 0158377 | OH | Primary |
Addresses
Primary practice location
517 Putnam St Apt 1
Sandusky, OH 44870-2163
Mailing address
517 Putnam St Apt 1
Sandusky, OH 44870-2163
Phone (419) 239-9606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158377 | 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 |
|---|---|---|---|
| 0158377 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1851749097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 PUTNAM ST APT 1",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448702163",
"telephone_number": "419-239-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 PUTNAM ST APT 1",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448702163",
"telephone_number": "419-239-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLERY",
"first_name": "KELSI",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "0158377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158377",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.