Individual provider Active NPI

Halimeh Glover

  • Home Health Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1912491382
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN9500778 Issued in FL
Practice address
2228 Justin Lake Dr
Jacksonville, FL 32221-3850
Phone
(904) 679-8812
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Home Health Registered Nurse 163WH0200X RN9500778 FL Primary

Addresses

Primary practice location

2228 Justin Lake Dr
Jacksonville, FL 32221-3850

Mailing address

2228 Justin Lake Dr
Jacksonville, FL 32221-3850
Phone (904) 679-8812

Other identifiers 1

IdentifierTypeStateIssuer
G416320889080OtherFLDL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address halimeh@oasiswellnessnurse.online

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9500778FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Wellness Nursing Home Health CurrentSince Apr 17, 2022 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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1912491382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 JUSTIN LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213850",
            "telephone_number": "904-679-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 JUSTIN LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213850",
            "telephone_number": "904-679-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "HALIMEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9500778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "G416320889080",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "halimeh@oasiswellnessnurse.online",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2228 Justin Lake Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322213850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.