Jasamyn Nichols Degrant

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

203 College View Dr
Richmond, KY 40475-2403

Phone

(606) 371-2935

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 10, 2022.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1831827625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COLLEGE VIEW DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752403",
            "telephone_number": "606-371-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COLLEGE VIEW DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752403",
            "telephone_number": "606-371-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRANT",
        "first_name": "JASAMYN",
        "middle_name": "NICHOLS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richmond, KY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.