Jayerra Whitley Enoch

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

14103 Issued in MO

Practice address

6464 Tide Water Dr
Florissant, MO 63033-4939

Phone

(314) 313-4533

NPI assigned

Dec 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1881401156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 TIDE WATER DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334939",
            "telephone_number": "314-313-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 TIDE WATER DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334939",
            "telephone_number": "314-313-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "JAYERRA",
        "middle_name": "WHITLEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MO",
            "license": "14103",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MO",
            "license": "14103",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MO",
            "license": "14103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "342810997",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "other",
            "affiliation": "Y",
            "endpointDescription": "6464 tidewater dr",
            "affiliationName": "Nursefinders, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ejayerra@gmail.com",
            "address_1": "3728 Phillips Hwy",
            "address_2": "Suite 13",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322079300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ejayerra@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "ejayerra@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ejayerra@gmail.com",
            "address_1": "3728 Phillips Hwy",
            "address_2": "Suite 13",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322079300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ejayerra@gmail.com",
            "affiliation": "N",
            "address_1": "6464 Tide Water Dr",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630334939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse's Aide in Florissant, MO
• Providers in Florissant, MO by specialty
• Nurse's Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.