Marsha Jackson, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9236954 Issued in FL

Practice address

5600 NW 57TH Way
Tamarac, FL 33319-2420

Phone

(954) 471-9220

NPI assigned

Jan 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dunamis Health Care CorpGroup PAC ID 0941583991, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• All County Health Care, Inc Home health agency, Lauderdale Lakes, FL, CCN 109250
• Trust USA Home Health LLC Home health agency, Plantation, FL, CCN 109594
• Absolute Home Care, Inc. Home health agency, Fort Lauderdale, FL, CCN 108107
• Acclaim Home Care Services Inc Home health agency, Tamarac, FL, CCN 109708

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Liaison NP LLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1528868684

  Single Specialty

  Medicare reassignment NPD Authorized official
• Dunamis Health Care Corp

  • In Home Supportive Care Agency
  • Plantation, FL
  • NPI 1164972022
  Medicare reassignment Care Compare group
• Florida Hospital Medicine Services, LLC.

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183

  Single Specialty

  Medicare reassignment NPD
• Medihue Health LLC

  • Family Nurse Practitioner
  • Lauderhill, FL
  • NPI 1508554320

  Single Specialty

  Medicare reassignment NPD
• MG H2 LLC

  • Hospitalist Physician
  • Miami, FL
  • NPI 1710583976

  Single Specialty

  Medicare reassignment NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  FL, Single Specialty

  Medicare reassignment NPD
• Hydration Haven

  • Primary Care Nurse Practitioner
  • Tamarac, FL
  • NPI 1376135889

  Single Specialty

  NPD Authorized official
• QMC LLC

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Absolute Home Care Inc.

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1740373968
  Care Compare affiliation
• Acclaim Home Care Services, Inc.

  • Home Health Agency
  • Lauderhill, FL
  • NPI 1316117971
  Care Compare affiliation
• All County Health Care, Inc.

  • Home Health Agency
  • Lauderdale Lakes, FL
  • NPI 1003935909
  Care Compare affiliation
• Trust USA Home Health LLC

  • Home Health Agency
  • Plantation, FL
  • NPI 1679717698
  Care Compare affiliation

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1609464130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 NW 57TH WAY",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192420",
            "telephone_number": "954-471-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 NW 57TH WAY",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192420",
            "telephone_number": "954-471-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARSHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9236954",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9236954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krithika Sreedhar Iyer, MD
• Jamil Jabbar, LPN
• Shenaz Jabon
• Jac Health Mnagement LLC
• Reagan Lauren Jackso9N
• Marie-Paule L Jacob-Ampuero, M.D.
• Judith Ann Jacobs, LMFT
• Jacqueline Boutrouille MD PA
• Jersa Jadotte
• Maria Alejandra Jaimes, M.D.

• Adult Health Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.