Jessica Annette Hall, CNA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

00158633 Issued in TN

Practice address

1116 Lamont CT
Clarksville, TN 37042-4715

Phone

(615) 997-4641

NPI assigned

Apr 3, 2013

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

Other names 1

• Ms. Jessica Annette Levy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1629311154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E PALESTINE AVE",
            "address_2": "F23",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154835",
            "telephone_number": "615-997-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 LAMONT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424715",
            "telephone_number": "615-997-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JESSICA",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "00158633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEVY",
            "middle_name": "ANNETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maquia Massirie Hall-Booth, LPN
• Alexus Hall
• Ashley Renee Hall, RN
• Christina Marie Hall, B.S.
• Grace Hall
• Kalissa Hall, BCBA
• Kimberly Faith Hall, M.A.
• Maurice Hall
• Melissa Marie Hall, MSW
• Nancy Lynn Hall, LCSW

• Personal Care Attendant in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Personal Care Attendant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.