Stefani Aracelly Fonseca-Jacamo

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605

Phone

(423) 587-7337

Fax

(423) 586-0614

NPI assigned

Mar 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1528868569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "423-587-7337",
            "fax_number": "423-586-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA-JACAMO",
        "first_name": "STEFANI",
        "middle_name": "ARACELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Mecole Ellison, CNA
• Meredith Leigh Embree, BA
• Arlin Yasmin Escalante
• Ethel M Vicks
• Sharon Farge, PSYD
• Carol Allin Fullerr, R.N.
• Christopher Edward Gehrke
• Ethel M Glenn, , MS, LMFT
• Annie Grantham, R.N.
• Julie Roach Gray, N.P.

• All providers in Talbott, TN
• Nurse's Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.