Dishaun Quarterman

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

168679 Issued in FL

Practice address

119 N 11TH St
Fernandina Beach, FL 32034-3338

Phone

(904) 321-7478

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quarterman Tender Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fernandina Beach, FL
  • NPI 1669960340
  NPD (past) Authorized official

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1538657200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N 11TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 11TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343338",
            "telephone_number": "904-321-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTERMAN",
        "first_name": "DISHAUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "168679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy DH Pope, ATC
• Paula Porterfield-Izzo, LMHC
• Precision Chiropractic Inc
• Publix Super Markets Inc (Publix Pharmacy #2112)
• Quarterman Tender Care
• R D Rice Chiropractic PA (Amelia Chiropractic Clinic)
• Nelly Ramos, CCMS
• Michelle Rampone, MSW, LCSW
• Kaela Michelle Raper, BCBA
• Bryan Keith Rawlinson, P.A.

• Nursing Care Agency in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.