Ayesha Jere Adams
Individual provider Active NPI Home Health Aide · Springfield, MO
NPI 1902392087 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1902392087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 607 E Madison St
Springfield, MO 65806-3831 - Phone
- (314) 629-7370
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
607 E Madison St
Springfield, MO 65806-3831
Mailing address
5311 S Cloverdale LN
Battlefield, MO 65619-9691
Phone (417) 365-6085
Other providers in Springfield, MO
- Active Life Chiropractic LLC
- McKenzie Adam-Hager
- Balkozar S Adam
- Taylor Adam
- Aimee Adams
- Carolyn Dorothy Adams
- Dora Adams
- Katie Adams
- Philip Adams
- Robert J Adams
All providers in Springfield, MO · Home Health Aide in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.