Individual provider Active NPI

Marsha E Jackson, CNM

  • Advanced Practice Midwife
  • Alexandria, VA
National Provider Identifier
1477684280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024105852 Issued in VA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN33128DCMDAdvanced Practice Midwife
R082221MDMDAdvanced Practice Midwife
0024105852VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.