Organization Active NPI

Just One Nurse

  • Adult Care Home Facility
  • Philadelphia, PA
National Provider Identifier
1801134648
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
4151228 Issued in PA
Legal business name
JUST ONE NURSE
Practice address
5425 Wynnefield Ave
Philadelphia, PA 19131-1323
Phone
(888) 791-9145
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mrs. Tamika D Butts, RN MSN
Title
Owner/Operator-Director of Nursing
Phone
(267) 246-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 4151228 PA Primary

Addresses

Primary practice location

5425 Wynnefield Ave
Philadelphia, PA 19131-1323

Mailing address

5425 Wynnefield Ave
Philadelphia, PA 19131-1323
Phone (888) 791-9145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1801134648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 WYNNEFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311323",
            "telephone_number": "888-791-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 WYNNEFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311323",
            "telephone_number": "888-791-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST ONE NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR-DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "267-246-3222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "4151228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.