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
- 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 |
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.