Individual provider Active NPI

Jabreel M Chisley

  • Driver
  • Willoughby Hills, OH
National Provider Identifier
1902364789
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
27600 Chardon Rd Apt 867
Willoughby Hills, OH 44092-2781
Phone
(216) 773-1347
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Driver 172A00000X Primary

Addresses

Primary practice location

27600 Chardon Rd Apt 867
Willoughby Hills, OH 44092-2781

Mailing address

27600 Chardon Rd Apt 867
Willoughby Hills, OH 44092-2781
Phone (216) 773-1347

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jabreel.chisley@solmorgan.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
I Just Want to See You Smile Home Health and Transportation Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1902364789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 CHARDON RD APT 867",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922781",
            "telephone_number": "216-773-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 CHARDON RD APT 867",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922781",
            "telephone_number": "216-773-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISLEY",
        "first_name": "JABREEL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jabreel.chisley@solmorgan.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27600 Chardon Rd Apt 867",
            "city": "Willoughby Hills",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440922781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.