1689719015 NPI number — MS. MARIE SIMONE WEST

Table of content: MS. MARIE SIMONE WEST (NPI 1689719015)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689719015 NPI number — MS. MARIE SIMONE WEST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEST
Provider First Name:
MARIE
Provider Middle Name:
SIMONE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689719015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
740 AMWELL RD N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43207-4149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-558-8851
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
810 BRADWELL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43207-4160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-491-4141
Provider Business Practice Location Address Fax Number:
614-409-2722
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 302F00000X , with the licence number:  2257650 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ONEWEST1 . This is a "HOME HEALTH AIDE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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