Jennifer Cross
Individual provider Active NPI Attendant Care Provider · Carmi, IL
NPI 1184408403 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1184408403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 116 Paint Creek LN
Carmi, IL 62821-1703 - Phone
- (618) 387-1750
- NPI assigned
- Aug 21, 2023
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
116 Paint Creek LN
Carmi, IL 62821-1703
Mailing address
116 Paint Creek LN
Carmi, IL 62821-1703
Phone (618) 387-1750
NPI Registry JSON
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1184408403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 PAINT CREEK LN",
"city": "CARMI",
"state": "IL",
"postal_code": "628211703",
"telephone_number": "618-387-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 PAINT CREEK LN",
"city": "CARMI",
"state": "IL",
"postal_code": "628211703",
"telephone_number": "618-387-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmi, IL
- Community Health & Emergency Services, Inc
- Audrey Coons
- Cornerstone Healthcare of Illinois, Inc.
- County of White
- Amy Renee Courson
- Angela J Day
- Deaconess Specialty Physicians, Inc
- Deaconess Specialty Physicians, Inc
- Nathanael James Dolan
- Robert Raymond Dolan
All providers in Carmi, IL · Attendant Care Provider in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. 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.