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  7. NPI Record 1558906057

WENDI BUFORD
Complete NPI Record 1558906057
Technician - Attendant Care Provider in South Euclid, OH

NPI Status: Active since November 08, 2019

Contact Information

2124 S BELVOIR BLVD
SOUTH EUCLID, OH
ZIP 44121
Phone: (216) 507-9654

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Enumeration Date
  17. Last Update Date
  18. Provider Gender Code
  19. Healthcare Provider Taxonomy Code 1
  20. Healthcare Provider Primary Taxonomy Switch 1
  21. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1558906057. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1558906057
The State code in the location of the provider being identified.
Entity Type Code: 1
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: WENDI
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: PO BOX 21016
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: SOUTH EUCLID
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: OH
The first name of the authorized official.
Provider Business Mailing Address Postal Code: 441210016
The title or position of the authorized official.
Provider Business Mailing Address Country Code If outside U S : US
The 10-position telephone number of the authorized official.
Provider First Line Business Practice Location Address: 2124 S BELVOIR BLVD
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address City Name: SOUTH EUCLID
Provider Business Practice Location Address State Name: OH
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 441213712
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider Business Practice Location Address Telephone Number: 2165079654
The code designating the provider’s gender if the provider is a person.
Provider Enumeration Date: 11/8/2019
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Last Update Date: 11/8/2019
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 3747A0650X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No