Individual provider Active NPI

Jacqueline Fletcher

  • Home Health Aide
  • Toney, AL
National Provider Identifier
1922754266
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
19713 Shianne Cir
Toney, AL 35773-8173
Phone
(256) 763-2037
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X AL Primary

Addresses

Primary practice location

19713 Shianne Cir
Toney, AL 35773-8173

Mailing address

19713 Shianne Cir
Toney, AL 35773-8173
Phone (256) 763-2037

Other practice location 1

4100 Market St Ste 100
Huntsville, AL 35808-3007
Phone (256) 801-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacquelinefletcher@lillyspringshomes.com 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

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1922754266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 SHIANNE CIR",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357738173",
            "telephone_number": "256-763-2037",
            "fax_number": "256-801-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19713 SHIANNE CIR",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357738173",
            "telephone_number": "256-763-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358083007",
            "country_code": "US",
            "telephone_number": "256-801-1050",
            "fax_number": "256-801-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacquelinefletcher@lillyspringshomes.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19713 Shianne Cir",
            "city": "Toney",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357738173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toney, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.