Active NPI
Jolene Previty
- Case Manager/Care Coordinator
- Warren, OH
National Provider Identifier
1053057166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 552 N Park Avenue
Warren
Warren, OH 44481 - Phone
- (234) 243-3127
- Fax
- (330) 306-9373
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
552 N Park Avenue
Warren
Warren, OH 44481
Mailing address
1378 Mercer Grove City Rd
Mercer, PA 16137-6244
Phone (724) 301-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Ohio, LLC | Current | Accepting new patients | |
| Coleman Professional Services, Inc. | Past | Accepting new patients |
Locations
552 N Park Ave
Warren, OH 44481
Phone (234) 243-3127
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1053057166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1378 MERCER GROVE CITY RD",
"city": "MERCER",
"state": "PA",
"postal_code": "161376244",
"telephone_number": "724-301-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 N PARK AVENUE",
"address_2": "WARREN",
"city": "WARREN",
"state": "OH",
"postal_code": "44481",
"telephone_number": "234-243-3127",
"fax_number": "330-306-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVITY",
"first_name": "JOLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.