Jaquayla M Herron

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

165687 Issued in OH

Practice address

1360 Dublin Rd
Columbus, OH 43215-1029

Phone

(614) 488-7117

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1669979993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 GREENPINE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327754",
            "telephone_number": "419-371-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151029",
            "telephone_number": "614-488-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "JAQUAYLA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "165687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R. Herron, PA-C
• Calli Christine Herron, DDS
• Carson Herron, MD
• Edwina Renee Herron
• Holly Herron, CNP
• Julie Herron, PC
• Mark I Herron
• Tabatha Herron, LMT
• Stephen J Hersey, M.D.
• Dulce Hershberger, MSW, LISWS

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.