Mystique Mae Duff

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

119 Euclid Ave
Bellevue, OH 44811-1043

Phone

(419) 967-1392

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1992491476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EUCLID AVE",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448111043",
            "telephone_number": "419-967-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EUCLID AVE",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448111043",
            "telephone_number": "419-967-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "MYSTIQUE",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenna R Deborde
• Jason S Delancey, PCCS, CCDC - I
• Carrie Ann Dichiaro, M.D.
• Camille Doyle
• Erica Drossman, MT
• Anita Dupont
• Timothy A Dymond, FNP-C
• Kristina Eberly, CNP
• Elmwood Centers Inc
• Cheryl Englehart, MA, LPC

• All providers in Bellevue, OH
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.