Active NPI
Janella Rose Poole
- Private Vehicle
- Albemarle, NC
National Provider Identifier
1104500453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 21314842
- Practice address
- 317 E Park Ave
Albemarle, NC 28001-5838 - Phone
- (910) 220-6210
- NPI assigned
- Jun 14, 2023
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 21314842 | NC | Primary |
Addresses
Primary practice location
317 E Park Ave
Albemarle, NC 28001-5838
Mailing address
221 W Fairground Ave
Troy, NC 27371-3258
Phone (910) 975-5493
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 |
|---|---|---|---|
| 21314842 | NC | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1104500453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W FAIRGROUND AVE",
"city": "TROY",
"state": "NC",
"postal_code": "273713258",
"telephone_number": "910-975-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E PARK AVE",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280015838",
"telephone_number": "910-220-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "JANELLA",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "21314842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.