Michael Dalen Jaureque

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

159 Hilltop Cir
Brighton, TN 38011-6628

Phone

(901) 569-8012

NPI assigned

Dec 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1780929349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HILLTOP CIR",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380116628",
            "telephone_number": "901-569-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HILLTOP CIR",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380116628",
            "telephone_number": "901-569-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREQUE",
        "first_name": "MICHAEL",
        "middle_name": "DALEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Adell Homler, MA, BCBA
• Anna McKenzie Howard, APN
• John Raymond Hughey, MD
• J.J. Cannon M.D. P.C.
• Delma Jaroszewicz
• Laura Elaine Jeffords
• Ashley L Jenkins, PMHNP-BC
• Johnson Clinic of Covington, Inc
• Elizabeth Michelle Jones
• Loretta Isabel Laughter, RBT

• Adult Companion in Brighton, TN
• Providers in Brighton, TN by specialty
• Adult Companion in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.