Active NPI
Jessica Nicole Porter
- Homemaker
- Tallahassee, FL
National Provider Identifier
1538645338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 1266 Cedar Center Dr
Tallahassee, FL 32301-4876 - Phone
- (850) 727-6705
- NPI assigned
- Jul 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary | ||
| Home Health Aide | 374U00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Adult Companion | 372600000X |
Addresses
Primary practice location
1266 Cedar Center Dr
Tallahassee, FL 32301-4876
Mailing address
1245 Cedar Center Dr Ste 1
Tallahassee, FL 32301-4857
Phone (850) 728-8268
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Angel Care Services,LLC | Home Health Aide | Current | Accepting new patients |
| Guardian Angel Care Services II | Current | Accepting new patients |
Locations
1345 Cross Creek Cir
Tallahassee, FL 32301
Phone (954) 515-9077
1266 Cedar Center Dr
Tallahassee, FL 32301
Phone (850) 322-8709
1245 Cedar Center Dr
Ste 1
Tallahassee, FL 32301
Phone (850) 727-6705
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Minneola, FL
- NPI 1194569319
-
- In Home Supportive Care Agency
- Tallahassee, FL
- NPI 1568948388
Home Health Aide
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1538645338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 CEDAR CENTER DR STE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323014857",
"telephone_number": "850-728-8268",
"fax_number": "850-597-9485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 CEDAR CENTER DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323014876",
"telephone_number": "850-727-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.