Individual provider Active NPI

Jean Evadney Harvey

  • Case Management Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1497260178
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
050812 Issued in FL
Practice address
1400 E West Hwy Apt 603
Silver Spring, MD 20910-3257
Phone
(954) 274-3538
Fax
(954) 274-3538
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1031091 DC
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 1031091 DC
Diabetes Educator Registered Nurse 163WD0400X RN2571122 FL
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X RN1031091 DC
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X 050812 FL Primary

Addresses

Primary practice location

1400 E West Hwy Apt 603
Silver Spring, MD 20910-3257

Mailing address

1400 E West Hwy Apt 603
Silver Spring, MD 20910-3257
Phone (954) 274-3538

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
1031091DCMDRegistered Nurse
RN1031091DCMDRegistered Nurse
050812FLMDCase Management Registered Nurse
RN2571122FLMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1497260178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E WEST HWY APT 603",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103257",
            "telephone_number": "954-274-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E WEST HWY APT 603",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103257",
            "telephone_number": "954-274-3538",
            "fax_number": "954-274-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JEAN",
        "middle_name": "EVADNEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1031091",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "1031091",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN2571122",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "DC",
            "license": "RN1031091",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "050812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.