Jodi Lorain Self, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

391070 Issued in OH

Practice address

2222 Neon St
Springfield, OH 45503-1880

Phone

(937) 688-0464

NPI assigned

Jul 8, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1528639788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NEON ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031880",
            "telephone_number": "937-688-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NEON ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031880",
            "telephone_number": "937-688-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "JODI",
        "middle_name": "LORAIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "391070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSURE",
            "identifier": "RN391070",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1321jself@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Home office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Office for nursing",
            "address_1": "2222 Neon St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455031880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seema S. Dhingra DDS MSD
• Kreshnik Seiti, PHARMD., RPH.
• Lauren Christine Seitz, MOT, OTR/L
• Peter J Seivers, APRN-CNP, DNP
• Self Reliance, Inc.
• Nicholas Senior, RPH
• Serene Home Health, LLC
• Michael Steven Severt
• Asad Zafir Shabazz
• Jessica Shafer, LISW

• Home Health Registered Nurse in Springfield, OH
• Providers in Springfield, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.