Active NPI
Jerme Davis
- Home Health Agency
- La Plata, MD
National Provider Identifier
1679163299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 26191
- Practice address
- 101 W Hawthorne Dr
La Plata, MD 20646-3127 - Phone
- (757) 907-2649
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | MD | ||
| Home Health Agency | 251E00000X | 26191 | MD | Primary |
Addresses
Primary practice location
101 W Hawthorne Dr
La Plata, MD 20646-3127
Mailing address
101 W Hawthorne Dr
La Plata, MD 20646-3127
Phone (757) 907-2649
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 |
|---|---|---|---|
| 26191 | MD | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1679163299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W HAWTHORNE DR",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206463127",
"telephone_number": "757-907-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W HAWTHORNE DR",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206463127",
"telephone_number": "757-907-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JERME",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "26191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.