NPIMap

Organization Active NPI

Jam Healthcare Services

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1871181735
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JAM HEALTHCARE SERVICES
Practice address
1240 Gittings Ave
Baltimore, MD 21239-1720
Phone
(443) 677-2405
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Jakarta A Mabrey, MD
Title
Owner
Phone
(443) 677-2405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1240 Gittings Ave
Baltimore, MD 21239-1720

Mailing address

1240 Gittings Ave
Baltimore, MD 21239-1720
Phone (443) 677-2405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1871181735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 GITTINGS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391720",
            "telephone_number": "443-677-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 GITTINGS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391720",
            "telephone_number": "443-677-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "MABREY",
        "authorized_official_first_name": "JAKARTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-677-2405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.