Individual provider Active NPI

Jacqueline Davis Anderson, NURSE TECH II

  • Nursing Care Agency
  • Asheboro, NC
National Provider Identifier
1336559756
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
86656 Issued in NC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
86656NCMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline's Loving Home Care CurrentSince Sep 13, 2020 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.

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.

Verify at the official NPI Registry.