Active NPI
Jeremy Jarvis
- Social Worker
- London, KY
National Provider Identifier
1487137477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1340 S Laurel Rd Ste 109
London, KY 40744-8304 - Phone
- (855) 591-0092
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1340 S Laurel Rd Ste 109
London, KY 40744-8304
Mailing address
103 Ohio LN
London, KY 40741-2026
Phone (606) 657-7523
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1487137477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 OHIO LN",
"city": "LONDON",
"state": "KY",
"postal_code": "407412026",
"telephone_number": "606-657-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 S LAUREL RD STE 109",
"city": "LONDON",
"state": "KY",
"postal_code": "407448304",
"telephone_number": "855-591-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "JEREMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.