Active NPI
Andrea Jaramillo, DO
- Family Medicine Physician
- Goshen, IN
National Provider Identifier
1992200711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02007078A
- Practice address
- 1814 Charlton CT
Goshen, IN 46526-6463 - Phone
- (574) 533-4169
- Fax
- (574) 534-8822
- NPI assigned
- Mar 25, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02007078A | IN | Primary |
Addresses
Primary practice location
1814 Charlton CT
Goshen, IN 46526-6463
Mailing address
PO Box 834
Goshen, IN 46527-0834
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrea.jaramillo.p1@direct.goshenphysicians.nextgenshare.com | ||
| Direct Messaging Address | andrea.jaramillo@goshenhealthdirect.com | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02007078A | IN | MD | Family Medicine Physician |
Interoperability endpoints
- andrea.jaramillo.1@15958.direct.athenahealth.com
- andrea.jaramillo@goshenhealthdirect.com
- andrea.jaramillo.1@15558.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1992200711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 834",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465270834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 CHARLTON CT",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266463",
"telephone_number": "574-533-4169",
"fax_number": "574-534-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "ANDREA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-25",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02007078A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrea.jaramillo.p1@direct.goshenphysicians.nextgenshare.com",
"affiliation": "N",
"address_1": "1814 Charlton Ct",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465266463",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrea.jaramillo@goshenhealthdirect.com",
"affiliation": "N",
"endpointDescription": "Effective 5/15/23",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1814 Charlton Ct",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465266463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.