Jasmine Riddick, MEDICAL ASSISTANT – Home Health Aide

Key facts

NPI: 1144893199
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Aide 374U00000X
Practice address: 4143 Cattail Branch Rd
Harrington, DE 19952-4570
Phone: (443) 359-4548
NPI assigned: Jul 19, 2021
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Aide Group: 193400000X SINGLE SPECIALTY GROUP	374U00000X		DE	Yes

Addresses

Primary practice location

4143 Cattail Branch Rd
Harrington, DE 19952-4570

Mailing address

4143 Cattail Branch Rd
Harrington, DE 19952-4570
Phone (443) 359-4548

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	trulyblessedhands20	Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2021.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1144893199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 CATTAIL BRANCH RD",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199524570",
            "telephone_number": "443-359-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 CATTAIL BRANCH RD",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199524570",
            "telephone_number": "443-359-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "JASMINE",
        "credential": "MEDICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trulyblessedhands20",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4143 Cattail Branch Rd",
            "city": "Harrington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199524570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrington, DE

All providers in Harrington, DE · Home Health Aide in Delaware

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.