Organization Active NPI

Hospital to Home Transitional Diabetes Care Limited Liability Company

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1023358561
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOSPITAL TO HOME TRANSITIONAL DIABETES CARE LIMITED LIABILITY COMPANY
Practice address
67 Stratton LN
Sewell, NJ 08080-2253
Phone
(856) 889-9577
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Kelly Lynn Donnell-Jackson, APN-C
Title
Nurse Practitioner/Director
Phone
(856) 889-9577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

67 Stratton LN
Sewell, NJ 08080-2253

Mailing address

67 Stratton LN
Sewell, NJ 08080-2253
Phone (856) 889-9577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1023358561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 STRATTON LN",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802253",
            "telephone_number": "856-889-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 STRATTON LN",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802253",
            "telephone_number": "856-889-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL TO HOME TRANSITIONAL DIABETES CARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "DONNELL-JACKSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/DIRECTOR",
        "authorized_official_telephone_number": "856-889-9577",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.