Individual provider Active NPI

Carol Lavern Dennis

  • Home Health Registered Respiratory Therapist
  • Jacksonville, FL
National Provider Identifier
1639718372
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X
Practice address
2338 Johnson Ave
Jacksonville, FL 32207-6758
Phone
(904) 704-9121
NPI assigned
Dec 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X Primary

Addresses

Primary practice location

2338 Johnson Ave
Jacksonville, FL 32207-6758

Mailing address

2338 Johnson Ave
Jacksonville, FL 32207-6758
Phone (904) 704-9121

Other practice location 1

2338 Johnson Ave
Jacksonville, FL 32207-6758
Phone (904) 704-9121

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

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Trinity Home Care, LLC CurrentSince Apr 9, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1639718372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 JOHNSON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076758",
            "telephone_number": "904-704-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 JOHNSON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076758",
            "telephone_number": "904-704-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2338 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322076758",
            "country_code": "US",
            "telephone_number": "904-704-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CAROL",
        "middle_name": "LAVERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.