Active NPI
Janaina Alexander
- Home Health Agency
- Berea, KY
National Provider Identifier
1639623283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 500256
- Practice address
- 104 Henry Dr
Berea, KY 40403-2023 - Phone
- (859) 302-1148
- NPI assigned
- Aug 12, 2016
- Last updated
- Aug 12, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 500256 | KY | Primary |
| Home Health Agency | 251E00000X | 199479 | KY | |
| Home Health Agency | 251E00000X | 3497 | KY |
Addresses
Primary practice location
104 Henry Dr
Berea, KY 40403-2023
Mailing address
104 Henry Dr
Berea, KY 40403-2023
Phone (859) 302-1148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 199479 | KY | MD | Home Health Agency |
| 500256 | KY | MD | Home Health Agency |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1639623283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HENRY DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404032023",
"telephone_number": "859-302-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HENRY DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404032023",
"telephone_number": "859-302-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JANAINA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KY",
"license": "500256",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KY",
"license": "199479",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KY",
"license": "3497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.