Melissa Anne Jeffery

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

1003004 Issued in CA

Practice address

4600 Broadway Suite 1300
Sacramento, CA 95820

Phone

(916) 890-5225

NPI assigned

Jul 30, 2018

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 identifiers 2

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1053899336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8182 OAKBRIAR CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587937",
            "telephone_number": "916-890-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY SUITE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95820",
            "telephone_number": "916-890-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "1003004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "ZZR11521F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11521F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osha-Esh Jefferson
• Sandra Jefferson
• Tonya Jefferson
• Jeffery D. Wilfong, Marriage, Child, and Family Counseling, Inc.
• Jeffery W Adkins MD
• Dana Ellen Jefffrey
• Jeffrey a Sweat MD PC
• Jeffrey D. Kauffman MD, Inc.
• Jeffrey J Keon & Dina J Keon, a Chiropractic Corporation
• Jeffrey J Rho DDS PC

• Community Health Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.