Jaedah B Andrus
Individual provider Active NPI Personal Care Attendant · Carson City, NV
NPI 1750844148 · NPPES record last updated Apr 11, 2019
Key facts
- NPI
- 1750844148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 343 Fairview Dr Ste 101
Carson City, NV 89701-5389 - Phone
- (775) 887-5683
- NPI assigned
- Apr 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
343 Fairview Dr Ste 101
Carson City, NV 89701-5389
Mailing address
1750 Russell Way Apt J
Carson City, NV 89706-2776
Phone (775) 671-5791
Other providers in Carson City, NV
- Nathaniel J Anderson
- Peter Anderson
- Giselle Andrade Pacheco
- Andrea K Weed D O Professional Corporation
- Jennifer Marie Andrews
- Coty Angel
- Maciel Angel
- Markos Angelides
- Lindsey Christine Aning
- Linda Anngela-Cole
All providers in Carson City, NV · Personal Care Attendant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.