Jacqueline Marie Anderson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

4042 S Township Road 22
Tiffin, OH 44883-9741

Phone

(567) 230-6297

NPI assigned

Jun 6, 2024

Last updated

Jun 6, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1194566695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 S TOWNSHIP ROAD 22",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448839741",
            "telephone_number": "567-230-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 S TOWNSHIP ROAD 22",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448839741",
            "telephone_number": "567-230-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene E Allen
• Jonathan Robert Allen, PHARM.D.
• Tammy Allgyre, QMHS MA CMS MA
• Sierra Michelle Allison
• Alexis V Ambrose, L.P.N.
• Andrew J. Gase, M.D., Inc
• Joel Ardner, DC
• Korina Armes
• Samuel E Arnold, DPT
• Assisted Living Concepts Inc (Seneca House)

• Home Health Agency in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.