Active NPI
Shareese Jaynes
- Nurse's Aide
- Philadelphia, PA
National Provider Identifier
1063363620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 20089898
- Practice address
- 220 N Horton St
Philadelphia, PA 19139-1118 - Phone
- (609) 665-0690
- NPI assigned
- Feb 9, 2026
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 20089898 | PA | Primary |
Addresses
Primary practice location
220 N Horton St
Philadelphia, PA 19139-1118
Mailing address
220 N Horton St
Philadelphia, PA 19139-1118
Phone (609) 665-0690
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20089898 | PA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1063363620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N HORTON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191391118",
"telephone_number": "609-665-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N HORTON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191391118",
"telephone_number": "609-665-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYNES",
"first_name": "SHAREESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "PA",
"license": "20089898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Vivek Jayaschandran, M.D.
- Mikaela Jayashekaramurthy, M. D.
- Arundathi Jayatilleke, MD
- Jaycare
- Jaycare Elite Home Care Services LLC
- Jays Hunting Park Pharmacy LLC (Jay's Hunting Park Pharmacy)
- JCR Physical Medicine Group
- JDJ Banks Solutions (B1 Home Care Agency)
- JDP Therapy Services LLC
- Jean Claude St. Germain
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.