Active NPI
Gaynell Dejarnette
- Attendant Care Provider
- Nathalie, VA
National Provider Identifier
1154596260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 819
- Practice address
- 2002 Golden Leaf Rd
Nathalie, VA 24577-3492 - Phone
- (434) 349-2391
- Fax
- (501) 639-4397
- NPI assigned
- Apr 29, 2008
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 819 | VA | Primary |
Addresses
Primary practice location
2002 Golden Leaf Rd
Nathalie, VA 24577-3492
Mailing address
2002 Golden Leaf Rd
Nathalie, VA 24577-3492
Phone (434) 349-2391
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 |
|---|---|---|---|
| 819 | VA | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1154596260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 GOLDEN LEAF RD",
"city": "NATHALIE",
"state": "VA",
"postal_code": "245773492",
"telephone_number": "434-349-2391",
"fax_number": "501-639-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 GOLDEN LEAF RD",
"city": "NATHALIE",
"state": "VA",
"postal_code": "245773492",
"telephone_number": "434-349-2391",
"fax_number": "501-639-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJARNETTE",
"first_name": "GAYNELL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "VA",
"license": "819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nathalie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.