Active NPI
Melody Rivers
- Personal Care Attendant
- Marion, OH
National Provider Identifier
1871100842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 511495
- Practice address
- 149 Sharpless CT
Marion, OH 43302-3105 - Phone
- (740) 360-6517
- NPI assigned
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 511495 | OH | Primary |
Addresses
Primary practice location
149 Sharpless CT
Marion, OH 43302-3105
Mailing address
149 Sharpless CT
Marion, OH 43302-3105
Phone (740) 360-6517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101495 | 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 |
|---|---|---|---|
| 511495 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1871100842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 SHARPLESS CT",
"city": "MARION",
"state": "OH",
"postal_code": "433023105",
"telephone_number": "740-360-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 SHARPLESS CT",
"city": "MARION",
"state": "OH",
"postal_code": "433023105",
"telephone_number": "740-360-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "MELODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "511495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5101495",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.