Jessica Rae Carson, BSW

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

UNLICENSED

Practice address

8939 S Sepulveda Blvd
Suite 460
Los Angeles, CA 90045-3631

Phone

(310) 337-7417

NPI assigned

Jun 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessica Rae Vose Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1689054405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MONTAIR AVE",
            "address_2": "#F20",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081259",
            "telephone_number": "951-501-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD",
            "address_2": "SUITE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453631",
            "telephone_number": "310-337-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": "UNLICENSED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VOSE",
            "middle_name": "RAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xavier Carroll
• Jamie Lauren Carruth, LMFT
• Keshae Carruthers
• Carson D Liu, MD, Medcorp
• Danielle Carson, DC
• Mary Katherine Carson
• Melissa Catherine Carson, PSY.D.
• Nicole Lyn Carson, M.A., BCBA
• Nora Carson, M.D.
• Paige Jenna Carson, LPCC/LMHC

• Rehabilitation Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.