Individual provider Active NPI

Regina Henry-Morris

  • Homemaker
  • Columbus, OH
National Provider Identifier
1881200392
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
1962 Bairsford Dr
Columbus, OH 43232-3012
Phone
(614) 367-6535
Fax
(614) 367-6535
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

Primary practice location

1962 Bairsford Dr
Columbus, OH 43232-3012

Mailing address

1962 Bairsford Dr
Columbus, OH 43232-3012
Phone (614) 367-6535

Other identifiers 1

IdentifierTypeStateIssuer
2788014MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL internet

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1881200392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 BAIRSFORD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323012",
            "telephone_number": "614-367-6535",
            "fax_number": "614-367-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 BAIRSFORD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323012",
            "telephone_number": "614-367-6535",
            "fax_number": "614-367-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY-MORRIS",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2788014",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "internet",
            "affiliation": "N",
            "address_1": "1962 Bairsford Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432323012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.