Fredda Nakia Jackson, MSN, APN-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00264900 Issued in NJ

Practice address

100 Madison Ave
Morristown, NJ 07960-6136

Phone

(201) 704-8416

NPI assigned

Aug 6, 2010

Last updated

Dec 19, 2013By the provider in NPPES

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Newbridge Services, IncGroup PAC ID 3072598978, 9 clinicians

Christian Health Care CenterGroup PAC ID 7618887340, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1982768420
  Medicare reassignment Care Compare group NPD
• Christian Health Care Center

  dba Ramapo Ridge Psychiatric Hospital

  • Psychiatric Hospital
  • Wyckoff, NJ
  • NPI 1114916954
  Medicare reassignment NPD
• Christian Health Care Center

  • Skilled Nursing Facility
  • Wyckoff, NJ
  • NPI 1427047232
  Medicare reassignment NPD
• Newbridge Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Pompton Plains, NJ
  • NPI 1891953170
  NPD
• Newbridge Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parsippany, NJ
  • NPI 1255676201
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1487968012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "973-656-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "201-704-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FREDDA",
        "middle_name": "NAKIA",
        "name_prefix": "Miss",
        "credential": "MSN,  APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00264900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Martino Iuso, DO (MAY 2022 GRAD)
• Danijela Ivelja-Hill, MD
• Ivyrehab Network Inc
• Cynthia Leray Jackson, LCSW
• Erin Tanner Jackson
• Unjeria Jackson, M.D.
• Wadeeha Mahasin Jackson, M.B.A
• Heidi Elizabeth Jacobsen, PHD
• Jeanne Jacobwitz, CNM
• Latha Jadhav, M.D.

• Acute Care Nurse Practitioner in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.