Active NPI
Shamonica Denise Jarju
- Case Manager/Care Coordinator
- Tyler, TX
National Provider Identifier
1912623000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2211 Roy Rd
Tyler, TX 75707 - Phone
- (903) 330-9625
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | TX | Primary |
Addresses
Primary practice location
2211 Roy Rd
Tyler, TX 75707
Mailing address
1910 E SE Loop 323 # 220
Tyler, TX 75701-8337
Phone (903) 330-9625
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Community Home Care, LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
1910 Ese 323 Loop
#220
Tyler, TX 75701
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Manager/Care Coordinator
- Tyler, TX
- NPI 1972373017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1912623000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 E SE LOOP 323 # 220",
"city": "TYLER",
"state": "TX",
"postal_code": "757018337",
"telephone_number": "903-330-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 ROY RD",
"city": "TYLER",
"state": "TX",
"postal_code": "75707",
"telephone_number": "903-330-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARJU",
"first_name": "SHAMONICA",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Alexander Blake Jamieson II, LVN
- Marium Janicke
- Janus Children Services Inc
- Tina Melamed Jaremko, PHD, CCC-SLP
- Samakti Jariwala
- Ann O Jarrel, LCSW
- Danielle Zoya Jaul, DDS
- Monica Jauregui, MD
- Javiramel Dental PLLC (Times Square Family Dental)
- JDG Provider Services LLC (JDG Non-Emergency Medical Transport)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.