Active NPI
Jevai Harris
- Nursing Care Agency
- South Charleston, WV
National Provider Identifier
1821756693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Practice address
- 309 Tremont St
South Charleston, WV 25303-1935 - Phone
- (681) 945-4338
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | WV | Primary |
Addresses
Primary practice location
309 Tremont St
South Charleston, WV 25303-1935
Mailing address
309 Tremont St
South Charleston, WV 25303-1935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00001250557 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | harris.jevait01@gmail.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": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1821756693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 TREMONT ST",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 TREMONT ST",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031935",
"telephone_number": "681-945-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JEVAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00001250557",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "harris.jevait01@gmail.com",
"affiliation": "N",
"address_1": "309 Tremont St",
"city": "South Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253031935",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.