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Roxanne Ingrid Cooley

Homemaker β€’ Dayton, OH

Active NPI 1710594189 Individual Practitioner Female Practitioner
Practice location in NPPES

3615 Laurel Fork Dr
Dayton, OH 454151511

Call 9372729654 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3615 Laurel Fork Dr

Dayton, OH 454151511

Telephone 9372729654
Organization at the Same NPPES Address or Phone
Department Of Mental Retardation And Developmental Disabilities Facility NPI 1174670285

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

223 active clinicians are listed under Homemaker with a practice address in Dayton, OH (6,879 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 223 clinicians have the CMS telehealth indicator.

0% of these 223 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-04
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 04, 2021

Registered at 3615 LAUREL FORK DR, DAYTON, OH 454151511 (Tel: 9372729654)

βœ…
NPI Profile Active September 29, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 29, 2020

Registered at 1601 W BROAD ST, COLUMBUS, OH 432221054 (Tel: 8006176733)

πŸ“
Business Mailing Address (Initial Record) September 29, 2020

Registered at 1601 W BROAD ST, COLUMBUS, OH 432221054

πŸ‘€
Provider Name / Credentials (Initial Record) September 29, 2020

Recorded as ROXANNE COOLEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2020

Homemaker

🟒
Initial NPI Registration & Enumeration September 29, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710594189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2020
Last Update: January 04, 2021
Sole Proprietor: No

Mailing Address

1601 W Broad St

Columbus, OH 432221054

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.