Individual provider Active NPI

Jill Janette Isennagle

  • Homemaker
  • Columbus, OH
National Provider Identifier
1902400567
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
RR867637 Issued in OH
Practice address
3255 Winding Creek Dr
Columbus, OH 43223-3529
Phone
(614) 316-1555
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X RR867637 OH Primary

Addresses

Primary practice location

3255 Winding Creek Dr
Columbus, OH 43223-3529

Mailing address

3263 Winding Creek Dr
Columbus, OH 43223-3529
Phone (614) 316-1555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wifi4(802.11n 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

State licenses

LicenseStateTypeSpecialty
RR867637OHMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1902400567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 WINDING CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233529",
            "telephone_number": "614-316-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 WINDING CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233529",
            "telephone_number": "614-316-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENNAGLE",
        "first_name": "JILL",
        "middle_name": "JANETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "RR867637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wifi4(802.11n",
            "affiliation": "N",
            "endpointDescription": "att",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3255 Winding Creek Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432233529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.