Theresa Burnam Jones
Individual provider Active NPI Homemaker · Pahokee, FL
NPI 1902392210 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1902392210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 235829 (FL)
- Practice address
- 3101 Eldorado Dr
Pahokee, FL 33476-1658 - Phone
- (561) 440-1199
- NPI assigned
- Jul 10, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235829 | FL | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 235829 | FL | Yes |
| Adult Companion | 372600000X | 235829 | FL |
Addresses
Primary practice location
3101 Eldorado Dr
Pahokee, FL 33476-1658
Mailing address
3101 Eldorado Dr
Pahokee, FL 33476-1658
Phone (561) 440-1199
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024165100 | Medicaid | FL |
Other providers in Pahokee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. 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.