Ernest Jeter, Msed

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ERNEST JETER, MSED

Practice address

115 S Sycamore St Ste B
Petersburg, VA 23803-4279

Phone

(347) 596-7357

Fax

(804) 479-3373

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Ernest Jeter, MSEDNPI 1295185577

Title

Owner

Phone

(347) 596-7357

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernest Jeter

  • School Counselor
  • Petersburg, VA
  • NPI 1295185577
  NPD (past) Authorized official
• Rose R Jeter, LCSW

  • Clinical Social Worker
  • Petersburg, VA
  • NPI 1750742201
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1497261598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 JOHNSON RD APT 114B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051258",
            "telephone_number": "347-596-7357",
            "fax_number": "804-479-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SYCAMORE ST STE B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034279",
            "telephone_number": "347-596-7357",
            "fax_number": "804-479-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST JETER, MSED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-596-7357",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Early Intervention Provider Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.