Active NPI
Hospital to Home Transitional Diabetes Care Limited Liability Company
- Family Nurse Practitioner
- Sewell, NJ
National Provider Identifier
1023358561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryNPI 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.