Haisheba Pacifica Jenness

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1355 E Angie St
Casa Grande, AZ 85122-3293

Phone

(760) 587-9277

NPI assigned

Feb 10, 2010

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1366774762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E ANGIE ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223293",
            "telephone_number": "760-587-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E ANGIE ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223293",
            "telephone_number": "760-587-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESS",
        "first_name": "HAISHEBA",
        "middle_name": "PACIFICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Letarte MD PLLC
• Elizabeth Belle Jeans, MD
• Kenneth D Jeffers, O.D.
• Jenkins Chiropractic LLC
• Sean Paul Jenkins, DC
• James Allen Jennings, DDS
• Jentilly Healthcare LLC (Agape Hospice Pinal County)
• Kimberly Randolph Jes, D.C.
• Jessie Solis (Greyhouse Transportation)
• George J Jicha, PA

• Contractor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.