Individual provider Active NPI

Jasmine Macheryl Webb

  • Family Nurse Practitioner
  • Hampton, GA
National Provider Identifier
1841767035
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN261205 Issued in GA
Practice address
1146 Oak Hollow CT
Hampton, GA 30228-5571
Phone
(501) 672-0456
NPI assigned
Oct 26, 2018
Reactivated
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN261205 GA Primary

Addresses

Primary practice location

1146 Oak Hollow CT
Hampton, GA 30228-5571

Mailing address

1146 Oak Hollow CT
Hampton, GA 30228-5571
Phone (501) 672-0456

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

State licenses

LicenseStateTypeSpecialty
RN261205GAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jasmine.webb.1@18358.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1841767035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 OAK HOLLOW CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302285571",
            "telephone_number": "501-672-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 OAK HOLLOW CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302285571",
            "telephone_number": "501-672-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JASMINE",
        "middle_name": "MACHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-05-15",
        "certification_date": "2022-01-04",
        "deactivation_date": "2022-01-04",
        "reactivation_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN261205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.