Judith Lee-Jackson, DO

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

14605 N 84TH St
Omaha, NE 68122-1999

Phone

(402) 213-4222

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• 1 Golden Rule Services

  • In Home Supportive Care Agency
  • Omaha, NE
  • NPI 1518852326
  NPD
• Golden Rule Services

  • In Home Supportive Care Agency
  • Omaha, NE
  • NPI 1407742711
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1508446618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340213",
            "telephone_number": "402-213-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14605 N 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221999",
            "telephone_number": "402-213-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-JACKSON",
        "first_name": "JUDITH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NE",
            "license": "NFOCUS-20664",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ledesma Hernandez
• David Ledesma Lopez
• Modesta Ledesma
• Della Lee Doane
• Connie Cordelia Lee-Elmore, M.S. CCC-SLP
• Alontreal Lee-Moore
• Krissa Lee-Regier, LCSW
• Alaina R Lee
• Alesia Lee
• Andrew S. Lee, MD

• In Home Supportive Care Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.