Shakeisha Jarvis-Drake, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R194972 Issued in MD

Practice address

3700 Columbus Dr
Baltimore, MD 21215-6122

Phone

(443) 651-4888

NPI assigned

Feb 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Drake'S Mobile Health Services.LLC

  • Primary Care Nurse Practitioner
  • Baltimore, MD
  • NPI 1891470142

  Primary Care

  NPD Authorized official
• Varahe Health Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1811727753
  NPD

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1366800211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 COLUMBUS DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156122",
            "telephone_number": "443-651-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 COLUMBUS DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156122",
            "telephone_number": "443-651-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS-DRAKE",
        "first_name": "SHAKEISHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R194972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Arnold Jarrett III, LCPC
• Scott D Jarrett, D.C.
• Garmai Jarry
• Adam Jarvie
• Mariecus Collette Michelle Jarvis Mays, PHARMD, MED
• Anna Cardall Jarvis, MD
• Erin Jarvis, MD
• Jessica Evalene Jarvis, LGPC
• Kisah Tondalear Jarvis
• Tierra Jarvis

• Primary Care Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.