Active NPI
Jill Annette Mock, CNPNP
- Pediatric Nurse Practitioner
- Oxford, OH
National Provider Identifier
1740376953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP02543
- Practice address
- 5141 Morning Sun Rd
Oxford, OH 45056 - Phone
- (513) 523-2156
- Fax
- (513) 523-2503
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP02543 | OH | Primary |
Addresses
Primary practice location
5141 Morning Sun Rd
Oxford, OH 45056
Mailing address
5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2044728 | Medicaid | OH |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP02543 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Past | Accepting new patients |
Interoperability endpoints
- jmock34457@direct.trihealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1740376953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 MORNING SUN RD",
"city": "OXFORD",
"state": "OH",
"postal_code": "45056",
"telephone_number": "513-523-2156",
"fax_number": "513-523-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 MORNING SUN RD",
"city": "OXFORD",
"state": "OH",
"postal_code": "45056",
"telephone_number": "513-523-2156",
"fax_number": "513-523-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "JILL",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "CNPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP02543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044728",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.