Active NPI
Jodie Sharece Harper
- Prosthetic/Orthotic Supplier
- Fredericksburg, VA
National Provider Identifier
1609605872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 43 Town and Country Drive
Suite 119 PMB 151
Fredericksburg, VA 22405 - Phone
- (804) 301-5315
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
43 Town and Country Drive
Suite 119 PMB 151
Fredericksburg, VA 22405
Mailing address
43 Town and Country Drive
Suite 119 PMB 151
Fredericksburg, VA 22405
Phone (804) 301-5315
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1609605872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 TOWN AND COUNTRY DRIVE",
"address_2": "SUITE 119 PMB 151",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22405",
"telephone_number": "804-301-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 TOWN AND COUNTRY DRIVE",
"address_2": "SUITE 119 PMB 151",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22405",
"telephone_number": "804-301-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "JODIE",
"middle_name": "SHARECE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.