Jessica Christina Mack, LVN

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

317848 Issued in TX

Practice address

8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358

Phone

(210) 804-0193

Fax

(210) 610-8782

NPI assigned

Aug 27, 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 names 1

• Jessica Christina Navarro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Choice Childrens Homecare LP

  • Home Health Agency
  • Stafford, TX
  • NPI 1487634739

  Nursing Care

  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1093296113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "LA COSTE",
            "state": "TX",
            "postal_code": "780390043",
            "telephone_number": "210-627-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 N NEW BRAUNFELS AVE STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176358",
            "telephone_number": "210-804-0193",
            "fax_number": "210-610-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JESSICA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "317848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NAVARRO",
            "middle_name": "CHRISTINA",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Leonard Macie, D.C
• Erica Yvette Maciel, MSN, APRN, FNP-C
• Jenna Macik
• Angela Kalleen Mack, PT
• Gavin Mack
• Lawrence C. Mack Jr., LPC
• Lynell Marie Mack
• Nia Ajae Mack
• Sarah Katherine Mackay, COTA
• Mackenzie Manor LLC

• Nursing Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nursing Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.