Jaymini D Dave

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0031702 Issued in OH

Practice address

9001 Portage Pointe Dr Apt P107
Streetsboro, OH 44241-6358

Phone

(731) 446-9726

NPI assigned

Jul 15, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdave641136@ehrdirect.uhhospitals.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JBBACA

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.

• Americare Kidney Institute LLC

  • Nephrology Physician
  • Westlake, OH
  • NPI 1013349471
  Medicare reassignment NPD

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1447984331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 PORTAGE POINTE DR APT P107",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442416358",
            "telephone_number": "731-446-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 PORTAGE POINTE DR APT P107",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442416358",
            "telephone_number": "731-446-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "JAYMINI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Allen Crowell, DDS
• Bailee R D'Amore-Dicamillo
• Jeffrey Mark Danczak, D.M.D
• Susan E Daris, O.D.
• Hanna Darling, OTR/L
• Deidra Davis
• Frank Davis
• Lindsay Davis
• Laura Delambo, RN
• Ashaunte Dent

• Family Nurse Practitioner in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.