Individual provider Active NPI

Jamie Fu Adkins Workman

  • Licensed Practical Nurse
  • Orient, OH
National Provider Identifier
1710150123
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN110641 Issued in OH
Practice address
10117 US Highway 62
Lot 21
Orient, OH 43146-9700
Phone
(614) 622-7454
NPI assigned
Apr 7, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN110641 OH Primary

Addresses

Primary practice location

10117 US Highway 62
Lot 21
Orient, OH 43146-9700

Mailing address

10117 US Highway 62
Lot 21
Orient, OH 43146-9700
Phone (614) 622-7454

Other identifiers 1

IdentifierTypeStateIssuer
2354170MedicaidOH

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

LicenseStateTypeSpecialty
PN110641OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1710150123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 US HIGHWAY 62",
            "address_2": "LOT 21",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "431469700",
            "telephone_number": "614-622-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 US HIGHWAY 62",
            "address_2": "LOT 21",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "431469700",
            "telephone_number": "614-622-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS WORKMAN",
        "first_name": "JAMIE",
        "middle_name": "FU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN110641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orient, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.