Organization Active NPI

Jarrell Healthcare LLC

  • Family Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1649717786
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP08619 Issued in OH
Legal business name
JARRELL HEALTHCARE LLC
Practice address
2621 Hibiscus Way
#125
Beavercreek, OH 45431-2776
Phone
(937) 219-5547
Fax
(937) 912-5449
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Kendra C Jarrell, N.P.
Title
President
Phone
(937) 219-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP08619 OH Primary

Addresses

Primary practice location

2621 Hibiscus Way
#125
Beavercreek, OH 45431-2776

Mailing address

2621 Hibiscus Way
#125
Beavercreek, OH 45431-2776
Phone (937) 219-5547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1649717786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 HIBISCUS WAY",
            "address_2": "#125",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312776",
            "telephone_number": "937-219-5547",
            "fax_number": "937-912-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 HIBISCUS WAY",
            "address_2": "#125",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312776",
            "telephone_number": "937-219-5547",
            "fax_number": "937-912-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRELL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-219-5547",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP08619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.