Active NPI
Jennifer Thervil
- Homemaker
- North Lauderdale, FL
National Provider Identifier
1306338132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 235080
- Practice address
- 7417 SW 13TH St
North Lauderdale, FL 33068-3612 - Phone
- (954) 600-5936
- NPI assigned
- Jun 6, 2018
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 235080 | FL | Primary |
Addresses
Primary practice location
7417 SW 13TH St
North Lauderdale, FL 33068-3612
Mailing address
7417 SW 13TH St
North Lauderdale, FL 33068-3612
Phone (954) 600-5936
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 |
|---|---|---|---|
| 235080 | FL | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1306338132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7417 SW 13TH ST",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330683612",
"telephone_number": "954-600-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7417 SW 13TH ST",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330683612",
"telephone_number": "954-600-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERVIL",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": "235080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.