Active NPI
Jacqueline Davis Anderson, NURSE TECH II
- Nursing Care Agency
- Asheboro, NC
National Provider Identifier
1336559756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 86656
- Practice address
- 1224 E Dixie Dr Unit E
Asheboro, NC 27203-8809 - Phone
- (336) 677-5652
- NPI assigned
- May 7, 2014
- Last updated
- Jan 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 86656 | NC | Primary |
| Home Health Aide | 374U00000X | 86656 | NC | |
| Home Health Aide | 374U00000X | NU | ||
| Nurse's Aide | 376K00000X | 86656 | NC |
Addresses
Primary practice location
1224 E Dixie Dr Unit E
Asheboro, NC 27203-8809
Mailing address
PO Box 36053
Greensboro, NC 27416-6053
Phone (336) 340-3845
Other names 1
- Jacqueline Davis Anderson
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 |
|---|---|---|---|
| 86656 | NC | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline's Loving Home Care | Current | Accepting new patients |
Locations
1224 E Dixie Dr
Unit E
Asheboro, NC 27203
Phone (336) 677-5652
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Asheboro, NC
- NPI 1407460462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769299200000",
"number": "1336559756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36053",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274166053",
"telephone_number": "336-340-3845",
"fax_number": "336-851-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 E DIXIE DR UNIT E",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272038809",
"telephone_number": "336-677-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JACQUELINE",
"middle_name": "DAVIS",
"name_prefix": "Mrs.",
"credential": "NURSE TECH II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2026-01-25",
"certification_date": "2026-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "86656",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "86656",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "86656",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "ANDERSON",
"middle_name": "DAVIS",
"credential": "NURSE TECH II",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.