Jamesetta Kaiddy Miller

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

100678 Issued in MA

Practice address

1104 Jefferson PL
Bellingham, MA 02019-1368

Phone

(702) 960-8706

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zion Care LLC

  • Home Health Agency
  • Bellingham, MA
  • NPI 1346072204
  NPD Authorized official
• Zion Home Healthcare LLC

  • Home Health Agency
  • Fargo, ND
  • NPI 1740993732
  NPD (past) Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1740996065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 JEFFERSON PL",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191368",
            "telephone_number": "702-960-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JEFFERSON PL",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191368",
            "telephone_number": "702-960-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMESETTA",
        "middle_name": "KAIDDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MA",
            "license": "100678",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "100678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Melo Marques
• Charles Garth Martin, LADC1
• Lauren A McGrath, CRNA
• Sheila Ann McQuade, APRN
• Rocio P Millan
• Monica Miller
• Winter Miller, LPN
• Steven Matthew Mirando
• Tracy Moore, PT
• Kerry M Morin, MSPT

• Personal Care Attendant in Bellingham, MA
• Providers in Bellingham, MA by specialty
• Personal Care Attendant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.