Deshonda Lashay Jefferson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6430 Mapledowns Dr
Fort Wayne, IN 46835-3935

Phone

(260) 582-1835

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positively Impacting Families LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • Fort Wayne, IN
  • NPI 1154102788

  Community Health Worker

  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1346009503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 MAPLEDOWNS DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353935",
            "telephone_number": "260-582-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 MAPLEDOWNS DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353935",
            "telephone_number": "260-582-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "DESHONDA",
        "middle_name": "LASHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vimal Jayswal, MD
• Erica Marie Jefferies, FNP
• Jennifer Lyn Jefferies, RBT
• Jefferson Park Pediatrics P C
• Jefferson Pediatrics, PC
• Erin Kay Jefferson, DO
• Jeffrey J. Shambaugh DMD PC
• Sarah Linn Jellison, APRN, FNP-BC
• Tara K Jellison, PHARMD
• Alicia Jemison, RBT

• Community Health Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community Health Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.