Individual provider Active NPI

Victoria Nicole Palmentera

  • Home Health Aide
  • Conneaut, OH
National Provider Identifier
1992306120
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
VF757837 Issued in OH
Practice address
413 Harbor St
Conneaut, OH 44030-1925
Phone
(216) 469-9550
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X VF757837 OH Primary

Addresses

Primary practice location

413 Harbor St
Conneaut, OH 44030-1925

Mailing address

413 Harbor St
Conneaut, OH 44030-1925

Other identifiers 1

IdentifierTypeStateIssuer
VF757837MedicaidOH

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

LicenseStateTypeSpecialty
VF757837OHMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1992306120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 HARBOR ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440301925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 HARBOR ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440301925",
            "telephone_number": "216-469-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMENTERA",
        "first_name": "VICTORIA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "VF757837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VF757837",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.