Individual provider Active NPI

Jasmine M Hart

  • Family Nurse Practitioner
  • Hillsboro, OH
National Provider Identifier
1922499904
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA16486-NP Issued in OH
Practice address
1108 Northview Drive
Suite 1
Hillsboro, OH 45177-1191
Phone
(937) 393-5781
Fax
(937) 393-5784
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA16486-NP OH Primary

Addresses

Primary practice location

1108 Northview Drive
Suite 1
Hillsboro, OH 45177-1191

Mailing address

5400 Dupont Circle
Suite a
Milfiord, OH 45150-2770
Phone (513) 576-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150316000924 OH Practitioner - Nurse Practitioner 4587981394 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA16486-NPOHMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1922499904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 DUPONT CIRCLE",
            "address_2": "SUITE A",
            "city": "MILFIORD",
            "state": "OH",
            "postal_code": "451502770",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NORTHVIEW DRIVE",
            "address_2": "SUITE 1",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451771191",
            "telephone_number": "937-393-5781",
            "fax_number": "937-393-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JASMINE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA16486-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.