Active NPI
Tamara Dawn Jarrett, R.N., B.S.N.
- Registered Nurse
- Ravenna, OH
National Provider Identifier
1184032773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN285337
- Practice address
- 2715 Sandy Lake Rd
Ravenna, OH 44266-8210 - Phone
- (330) 353-4991
- NPI assigned
- Jul 26, 2014
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | |||
| Registered Nurse | 163W00000X | RN285337 | OH | Primary |
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2715 Sandy Lake Rd
Ravenna, OH 44266-8210
Mailing address
2715 Sandy Lake Rd
Ravenna, OH 44266-8210
Phone (330) 353-4991
Other practice location 1
4765 Valley Hills Dr
Ravenna, OH 44266-9328
Phone (330) 353-4991
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN285337 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Born to Stand Out | In Home Supportive Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Ravenna, OH
- NPI 1396386256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1184032773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 SANDY LAKE RD",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442668210",
"telephone_number": "330-353-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 SANDY LAKE RD",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442668210",
"telephone_number": "330-353-4991"
}
],
"practiceLocations": [
{
"address_1": "4765 Valley Hills Dr",
"address_purpose": "LOCATION",
"city": "Ravenna",
"state": "OH",
"postal_code": "442669328",
"country_code": "US",
"telephone_number": "330-353-4991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARRETT",
"first_name": "TAMARA",
"middle_name": "DAWN",
"credential": "R.N., B.S.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-26",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN285337",
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.