Active NPI
Jesse Worlumarti
- Home Health Aide
- Trotwood, OH
National Provider Identifier
1184184582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 5712447
- Practice address
- 413 Vaniman Ave
Trotwood, OH 45426-2529 - Phone
- (732) 762-5834
- NPI assigned
- Mar 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 400795720808 | OH | |
| Home Health Aide | 374U00000X | 5712447 | OH | Primary |
Addresses
Primary practice location
413 Vaniman Ave
Trotwood, OH 45426-2529
Mailing address
413 Vaniman Ave
Trotwood, OH 45426-2529
Phone (732) 762-5834
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5712447 | Medicaid | OH | |
| 3154063 | Medicaid | OH |
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 |
|---|---|---|---|
| 5712447 | OH | MD | Home Health Aide |
| 400795720808 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1184184582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 VANIMAN AVE",
"city": "TROTWOOD",
"state": "OH",
"postal_code": "454262529",
"telephone_number": "732-762-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 VANIMAN AVE",
"city": "TROTWOOD",
"state": "OH",
"postal_code": "454262529",
"telephone_number": "732-762-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLUMARTI",
"first_name": "JESSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "400795720808",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "5712447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5712447",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3154063",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trotwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.