Individual provider Active NPI

Jearold Jerome Hill

  • Developmental Disabilities Clinic/Center
  • Spring Hill, FL
National Provider Identifier
1275154445
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
RN9360443 Issued in FL
Practice address
14594 Deacon CT
Spring Hill, FL 34609-0701
Phone
(813) 334-8546
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X RN9360443 FL Primary

Addresses

Primary practice location

14594 Deacon CT
Spring Hill, FL 34609-0701

Mailing address

14594 Deacon CT
Spring Hill, FL 34609-0701
Phone (813) 334-8546

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cerner Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
RN9360443FLMDDevelopmental Disabilities Clinic/Center

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1275154445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14594 DEACON CT",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090701",
            "telephone_number": "813-334-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14594 DEACON CT",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090701",
            "telephone_number": "813-334-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JEAROLD",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "RN9360443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cerner",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "secured email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "secured text or direct call",
            "address_1": "14594 Deacon Ct",
            "city": "Spring Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346090701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.