Active NPI
Monica Sue Medley, STNA
- Nurse's Aide
- Mansfield, OH
National Provider Identifier
1982919288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 378729390100
- Practice address
- 516 Fleming Falls Rd
Mansfield, OH 44905-1207 - Phone
- (419) 566-2645
- NPI assigned
- Aug 11, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 378729390100 | OH | |
| Adult Companion | 372600000X | 378729390100 | OH | |
| Home Health Aide | 374U00000X | 378729390100 | OH | |
| Nurse's Aide | 376K00000X | 378729390100 | OH | Primary |
Addresses
Primary practice location
516 Fleming Falls Rd
Mansfield, OH 44905-1207
Mailing address
516 Fleming Falls Rd
Mansfield, OH 44905
Phone (419) 566-2645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378729390100 | Other | OH | OHIO DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| 378729390100 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1982919288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 FLEMING FALLS RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44905",
"telephone_number": "419-566-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 FLEMING FALLS RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449051207",
"telephone_number": "419-566-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLEY",
"first_name": "MONICA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "378729390100",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "OH",
"license": "378729390100",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "378729390100",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "378729390100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT OF HEALTH",
"identifier": "378729390100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.