Active NPI
Rosetta Fair
- Nurse's Aide
- Euclid, OH
National Provider Identifier
1871124610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401777080715
- Practice address
- 21200 Morris Ave
Euclid, OH 44123-2924 - Phone
- (216) 209-6429
- NPI assigned
- Jan 30, 2020
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401777080715 | OH | Primary |
Addresses
Primary practice location
21200 Morris Ave
Euclid, OH 44123-2924
Mailing address
21200 Morris Ave
Euclid, OH 44123
Phone (216) 209-6429
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 |
|---|---|---|---|
| 401777080715 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1871124610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21200 MORRIS AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "44123",
"telephone_number": "216-209-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21200 MORRIS AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441232924",
"telephone_number": "216-209-6429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "ROSETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401777080715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
- Everside Health, LLC (Paladina Health Euclid Lincoln Electric)
- Everyday People Individual and Family Counseling Center
- Evolving Nurse (Home Healthcare Agency)
- Exceptional Hands LLC
- Patricia Fahey, LISW-S
- Artur Shawn Faison, CDCA, NCAC I
- Families Affair Homecare
- Family Guidance Center Inc
- Family Loving Care LLC (family loving care)
- Family Matters Support Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.