Individual provider Active NPI

Andrea Jaramillo, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Goshen, IN
National Provider Identifier
1992200711
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
34.015503 Issued in OH
Practice address
1814 Charlton CT
Goshen, IN 46526-6463
Phone
(574) 533-4169
Fax
(574) 534-8822
NPI assigned
Mar 25, 2018
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 34.015503 OH Primary
Family Medicine Physician 207Q00000X 02007078A IN

Addresses

Primary practice location

1814 Charlton CT
Goshen, IN 46526-6463

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964

Other practice location 1

375 Dixmyth Ave Ste 799.28
Cincinnati, OH 45220-2475
Phone (513) 862-1137

Other practice location 2

3035 Hamilton Mason Rd
Fairfield Township, OH 45011-5544
Phone (513) 853-1300

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
02007078AINMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: andrea.jaramillo.1@15558.direct.athenahealth.com
  • Direct secure messaging: andrea.jaramillo.1@15958.direct.athenahealth.com
  • Direct secure messaging: andrea.jaramillo.p1@direct.goshenphysicians.nextgenshare.com
  • Direct secure messaging: andrea.jaramillo@goshenhealthdirect.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": "1790035200000",
    "number": "1992200711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-246-1964",
            "fax_number": "513-852-8525"
        },
        {
            "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": [
        {
            "address_1": "375 Dixmyth Ave Ste 799.28",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-1137",
            "fax_number": "513-862-2573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 Hamilton Mason Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450115544",
            "country_code": "US",
            "telephone_number": "513-853-1300",
            "fax_number": "513-451-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "ANDREA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-25",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "34.015503",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02007078A",
            "primary": false
        }
    ],
    "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 Sep 22, 2026; 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.