Active NPI
Cadence Jackson
- Occupational Therapy Assistant
- Washington, DC
National Provider Identifier
1023893583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 200001251
- Practice address
- 1901 Independence Ave SE
Washington, DC 20003-1733 - Phone
- (803) 447-9762
- NPI assigned
- Aug 31, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 200001251 | DC | Primary |
Addresses
Primary practice location
1901 Independence Ave SE
Washington, DC 20003-1733
Mailing address
2157 Astoria Cir Apt 111
Herndon, VA 20170-4063
Phone (803) 447-9762
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200001251 | DC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1023893583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 ASTORIA CIR APT 111",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704063",
"telephone_number": "803-447-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 INDEPENDENCE AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200031733",
"telephone_number": "803-447-9762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CADENCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "DC",
"license": "200001251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.