Individual provider Active NPI

Jameelah Kenee Ragland, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1598280596
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
021454 Issued in OH
Practice address
620 Virginia St
Toledo, OH 43620-1113
Phone
(419) 410-5819
Fax
(419) 410-5819
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 021454 OH Primary

Addresses

Primary practice location

620 Virginia St
Toledo, OH 43620-1113

Mailing address

212 Bailey St
Apt 204
Los Angeles, CA 90033-2460
Phone (419) 244-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180611002066 OH Practitioner - Nurse Practitioner 0042565327 Reassigns benefits to 3 organizations
I20181010001957 MI Practitioner - Nurse Practitioner 0042565327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
021454OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Nov 8, 2023 Accepting new patients
Vpa PC CurrentSince Jun 2, 2022 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Jan 1, 2024 Accepting new patients
Theoria Medical CurrentSince Dec 22, 2022 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1900 Indian Wood Cir
Ste 202B
Maumee, OH 43537
Phone (419) 578-8594

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1598280596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BAILEY ST",
            "address_2": "APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332460",
            "telephone_number": "419-244-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 VIRGINIA ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201113",
            "telephone_number": "419-410-5819",
            "fax_number": "419-410-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLAND",
        "first_name": "JAMEELAH",
        "middle_name": "KENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "021454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.