Active NPI
Jarrell Healthcare LLC
- Family Nurse Practitioner
- Beavercreek, OH
National Provider Identifier
1649717786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP08619
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryNPI 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.