Active NPI
Nancy Anne Martin
- Homemaker
- Stow, OH
National Provider Identifier
1962087056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- RT570644
- Practice address
- 4617 A Cox Dr
Stow, OH 44224 - Phone
- (330) 807-1113
- NPI assigned
- Mar 10, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | RT570644 | OH | |
| Non-emergency Medical Transport (VAN) | 343900000X | RT570644 | OH | |
| Private Vehicle | 347C00000X | RT570644 | OH | |
| Personal Care Attendant | 3747P1801X | RT570644 | OH | |
| Homemaker | 376J00000X | RT570644 | OH | Primary |
Addresses
Primary practice location
4617 A Cox Dr
Stow, OH 44224
Mailing address
4617 A Cox Dr
Stow, OH 44224
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 |
|---|---|---|---|
| RT570644 | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1962087056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 A COX DR",
"city": "STOW",
"state": "OH",
"postal_code": "44224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 A COX DR",
"city": "STOW",
"state": "OH",
"postal_code": "44224",
"telephone_number": "330-807-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "NANCY",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "RT570644",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "RT570644",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "RT570644",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "RT570644",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "RT570644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.