Individual provider Active NPI

Jacqueline Hearndon-Sessoms, B.A.,

  • Student in an Organized Health Care Education/Training Program
  • Chula Vista, CA
National Provider Identifier
1124412531
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
45 E Flower St
Apt #235
Chula Vista, CA 91910-7630
Phone
(206) 930-0504
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

45 E Flower St
Apt #235
Chula Vista, CA 91910-7630

Mailing address

45 E Flower St
Apt #235
Chula Vista, CA 91910-7630
Phone (206) 930-0504

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1124412531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E FLOWER ST",
            "address_2": "APT #235",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107630",
            "telephone_number": "206-930-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E FLOWER ST",
            "address_2": "APT #235",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107630",
            "telephone_number": "206-930-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNDON-SESSOMS",
        "first_name": "JACQUELINE",
        "credential": "B.A.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.