Individual provider Active NPI

Pauline Quaicoe

  • Nurse's Aide
  • Canal Winchester, OH
National Provider Identifier
1861970105
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
3531 Heath Trce
Canal Winchester, OH 43110-7706
Phone
(614) 663-7205
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

3531 Heath Trce
Canal Winchester, OH 43110-7706

Mailing address

3531 Heath Trce
Canal Winchester, OH 43110-7706
Phone (614) 663-7205

Other names 1

  • Bankesha Bashale Other name

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1861970105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 HEATH TRCE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107706",
            "telephone_number": "614-663-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 HEATH TRCE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107706",
            "telephone_number": "614-663-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAICOE",
        "first_name": "PAULINE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BANKESHA",
            "last_name": "BASHALE",
            "credential": "BANKESHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.