Joneka Otillya Harris, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CNA48767 Issued in FL

Practice address

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Phone

(386) 231-3437

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joneka Otillya Butler Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1952998981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MASON AVE APT 827",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175130",
            "telephone_number": "386-333-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JONEKA",
        "middle_name": "OTILLYA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA48767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ephayes@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 Memorial Medical Pkwy",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321175167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JONEKA",
            "last_name": "BUTLER",
            "middle_name": "OTILLYA",
            "credential": "JONEKA BUTLER PRINCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donnett M Harris-Gadiare
• Bruce Harris, ARNP
• Catreena Harris, LPN
• Eric Michael Harris, D.O.
• Holly Eugenia Harris, M.A.
• Kemeisha Harris
• Savanna Jane Harris, APRN
• Wendy Annette Harris
• Hannah Harrison
• Alison Hart, PA-C

• Nurse's Aide in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.