Direct Workforce Care Health LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DIRECT WORKFORCE CARE HEALTH LLC

Practice address

3456 Watson Hwy Ste 200
Du Bois, PA 15801-5460

Phone

(814) 299-7637

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Bush, CRNP

Title

Nurse Practitioner

Phone

(814) 299-7637

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1528702131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 WATSON HWY STE 200",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015460",
            "telephone_number": "814-299-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 WATSON HWY STE 200",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015460",
            "telephone_number": "814-299-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT WORKFORCE CARE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "814-299-7637",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699289330",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie@directworkforcecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3456 Watson Hwy Ste 200",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158015460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jon C Desantis
• Aaron J Devallance, CRNA
• Tennelle Lynn Dienes, BSL
• Albert J Digilarmo, PSY D
• Richelle Lee Dippold, M.S.
• Direct Workforce Care LLC
• Direct Workforce Health Clinic LLC
• Emily Kay Disque, RN
• Marcy Lynn Divelbiss, B. A.
• Candy Sue Dixon, B. A.

• Urgent Care Clinic/Center in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.