Jennifer Jo Stephens

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

22136A Issued in MO

Practice address

400 S Lucas St
Lowry City, MO 64763-9114

Phone

(660) 492-3113

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clayton'S Heartfelt in Home Care LLC

  • Home Health Agency
  • Lowry City, MO
  • NPI 1235707548
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1114501129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LUCAS ST",
            "city": "LOWRY CITY",
            "state": "MO",
            "postal_code": "647639114",
            "telephone_number": "660-492-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LUCAS ST",
            "city": "LOWRY CITY",
            "state": "MO",
            "postal_code": "647639114",
            "telephone_number": "660-492-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "22136A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Michelle Crowder
• Sara Beth Martin, CDS MANAGER
• Amanda Nichole McKiernan, PTA
• Oakheart Therapy, PLLC
• Marilyn J Richardson, PTA
• Truman Lake Manor, Inc.

• All providers in Lowry City, MO
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.