Individual provider Active NPI

Shamim M Jamani, CNA, PCT

  • Home Health Aide
  • Alpharetta, GA
National Provider Identifier
1578869848
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
1077-1032 Issued in GA
Practice address
760 Sheridan Ridge CT
Alpharetta, GA 30022-3417
Phone
(770) 777-4709
Fax
(770) 777-4709
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 1077-1032 GA Primary
Nurse's Aide 376K00000X CN0028909128 GA

Addresses

Primary practice location

760 Sheridan Ridge CT
Alpharetta, GA 30022-3417

Mailing address

760 Sheridan Ridge CT
Alpharetta, GA 30022-3417
Phone (770) 777-4709

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

State licenses

LicenseStateTypeSpecialty
1077-1032GAMDHome Health Aide
CN0028909128GAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1578869848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SHERIDAN RIDGE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223417",
            "telephone_number": "770-777-4709",
            "fax_number": "770-777-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SHERIDAN RIDGE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223417",
            "telephone_number": "770-777-4709",
            "fax_number": "770-777-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMANI",
        "first_name": "SHAMIM",
        "middle_name": "M",
        "credential": "CNA, PCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "1077-1032",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0028909128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.