Denise Marcel Jackson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3825 Grosvenor Rd
Cleveland, OH 44118-2313

Phone

(216) 246-4265

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1245828540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 GROSVENOR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441182313",
            "telephone_number": "216-246-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 GROSVENOR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441182313",
            "telephone_number": "216-246-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DENISE",
        "middle_name": "MARCEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Jackson
• Darrielle Jackson
• Dayrion Jackson
• Deaunna Jackson
• Denise Diane Jackson
• Destiny Jackson, HAS
• Diane Marie Jackson, REGISTERED NURSE
• Diane Marie Jackson, R.PH.
• Dominique Shavanta Jackson
• Ebonie Jackson

• Home Health Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.