Active NPI
Jovon Harley
- Point of Service
- Herndon, VA
National Provider Identifier
1780307058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Practice address
- 13873 Park Center Rd Ste 150L
Herndon, VA 20171-3248 - Phone
- (703) 479-5259
- NPI assigned
- Sep 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | |||
| Specialist | 174400000X | |||
| Home Health Agency | 251E00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
13873 Park Center Rd Ste 150L
Herndon, VA 20171-3248
Mailing address
13873 Park Center Rd Ste 150L
Herndon, VA 20171-3248
Phone (703) 479-5259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872269864 | Medicaid | DE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.thehealthcareninjas.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1780307058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13873 PARK CENTER RD STE 150L",
"city": "HERNDON",
"state": "VA",
"postal_code": "201713248",
"telephone_number": "703-479-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13873 PARK CENTER RD STE 150L",
"city": "HERNDON",
"state": "VA",
"postal_code": "201713248",
"telephone_number": "703-479-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "JOVON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "872269864",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.thehealthcareninjas.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "13873 Park Center Rd Ste 150L",
"city": "Herndon",
"state": "VA",
"country_code": "US",
"postal_code": "201713248",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.