Jake McHargue

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5221889 Issued in FL

Practice address

1031 E Oak St
Arcadia, FL 34266-8923

Phone

(863) 491-7580

Fax

(863) 491-7584

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1689030678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-491-7580",
            "fax_number": "863-491-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668923",
            "telephone_number": "863-491-7580",
            "fax_number": "863-491-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHARGUE",
        "first_name": "JAKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5221889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "PN5221889",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Martinez-Morales, PH.D.
• Lesyani Martinez, MT
• Karla A Mason, LCSW
• Jeremy Heath McClellan, PHARM. D.
• Mark Lester McClendon, D.D.S.
• Keisha S McKenzie
• MCR Health, Inc. (Community Care Family Healthcare Center)
• MCR Health, Inc. (Twin Rivers Medical Center)
• MCR Health, Inc.
• MCR Health, Inc.

• Licensed Practical Nurse in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.