Active NPI
Marsha E Jackson, CNM
- Advanced Practice Midwife
- Alexandria, VA
National Provider Identifier
1477684280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 0024105852
- Practice address
- 1501 King St
Alexandria, VA 22314-2716 - Phone
- (703) 549-5070
- Fax
- (703) 549-4821
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0024105852 | VA | Primary |
| Advanced Practice Midwife | 367A00000X | R082221 | MD | |
| Advanced Practice Midwife | 367A00000X | RN33128 | DC |
Addresses
Primary practice location
1501 King St
Alexandria, VA 22314-2716
Mailing address
12400 Martin Rd
Brandywine, MD 20613-8745
Phone (301) 372-6214
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN33128 | DC | MD | Advanced Practice Midwife |
| R082221 | MD | MD | Advanced Practice Midwife |
| 0024105852 | VA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birthcare Facility | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Birthcare and Women's Health, LTD | Advanced Practice Midwife | Past | Accepting new patients |
Locations
1501 King St
Alexandria, VA 22314
Phone (703) 549-5070
Organizations & group practices 3
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.
-
- Advanced Practice Midwife
- Alexandria, VA
- NPI 1689707028
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477684280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 MARTIN RD",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138745",
"telephone_number": "301-372-6214",
"fax_number": "301-372-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KING ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142716",
"telephone_number": "703-549-5070",
"fax_number": "703-549-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MARSHA",
"middle_name": "E",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VA",
"license": "0024105852",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R082221",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DC",
"license": "RN33128",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.