Active NPI
Arielle M Jackson, RMP
- Doula
- Upper Marlboro, MD
National Provider Identifier
1124705223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 14704 Elberfeld CT
Upper Marlboro, MD 20774-8966 - Phone
- (240) 636-3059
- NPI assigned
- Jun 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | R03613 | MD | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
14704 Elberfeld CT
Upper Marlboro, MD 20774-8966
Mailing address
14704 Elberfeld CT
Upper Marlboro, MD 20774-8966
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 |
|---|---|---|---|
| R03613 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1124705223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14704 ELBERFELD CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14704 ELBERFELD CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748966",
"telephone_number": "240-636-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ARIELLE",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "RMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "R03613",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.