Individual provider Active NPI

Dona Jagger

  • Day Training/Habilitation Specialist
  • Baltimore, OH
National Provider Identifier
1053917542
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
2305231 Issued in OH
Practice address
10560 Heimberger Rd NW
Baltimore, OH 43105-9405
Phone
(740) 400-4076
NPI assigned
Dec 9, 2020
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X 2305231 OH Primary

Addresses

Primary practice location

10560 Heimberger Rd NW
Baltimore, OH 43105-9405

Mailing address

12170 Saylor Rd NW
Baltimore, OH 43105-9413
Phone (740) 400-4076

Other identifiers 1

IdentifierTypeStateIssuer
2305231MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dsjagger@live.com Direct
Direct Messaging Address dsjagger@live.com Direct

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

State licenses

LicenseStateTypeSpecialty
2305231OHMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Day Club LLC CurrentSince Sep 25, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1053917542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 SAYLOR RD NW",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431059413",
            "telephone_number": "740-400-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 HEIMBERGER RD NW",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431059405",
            "telephone_number": "740-400-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGER",
        "first_name": "DONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "OH",
            "license": "2305231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305231",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsjagger@live.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10560 Heimberger Rd NW",
            "city": "Baltimore",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431059405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsjagger@live.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10560 Heimberger Rd NW",
            "city": "Baltimore",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431059405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.