Individual provider Active NPI

Tierra A Jmaes, MEDICAL ASSISTANT II

  • Medical Physician Assistant
  • Maple Heights, OH
National Provider Identifier
1104704105
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
5239 Joseph St
Maple Heights, OH 44137-1533
Phone
(216) 609-6034
NPI assigned
Aug 26, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Medical Physician Assistant 363AM0700X OH Primary
Home Health Aide 374U00000X NU

Addresses

Primary practice location

5239 Joseph St
Maple Heights, OH 44137-1533

Mailing address

5239 Joseph St
Maple Heights, OH 44137-1533
Phone (216) 609-6034

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

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1104704105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 JOSEPH ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371533",
            "telephone_number": "216-609-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 JOSEPH ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371533",
            "telephone_number": "216-609-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JMAES",
        "first_name": "TIERRA",
        "middle_name": "A",
        "credential": "MEDICAL ASSISTANT II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.