Seja Joyce Jackson, PHD, APRN, AAHIVS

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

001601 Issued in CT

Practice address

131 Coventry St
Hartford, CT 06112-1548

Phone

(860) 714-2862

Fax

(860) 714-8541

NPI assigned

Aug 10, 2007

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

• Ms. Joyce Sharon Fishman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Saint Francis Hospital and Medical Center

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1871713495
  Medicare reassignment NPD
• Saint Francis Hospital and Medical Center

  • Community/Retail Pharmacy
  • Hartford, CT
  • NPI 1932728698
  NPD

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1720270119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODBRIDGE RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332924",
            "telephone_number": "860-633-5803",
            "fax_number": "860-714-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COVENTRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121548",
            "telephone_number": "860-714-2862",
            "fax_number": "860-714-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SEJA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "PHD,  APRN,  AAHIVS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjackson16629@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "131 Coventry St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061121548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "FISHMAN",
            "middle_name": "SHARON",
            "prefix": "MS.",
            "credential": "MS, APRN, AAHIVS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alireza Jabbari, O.D.
• Tracey J Jablonski, MD
• Noah Jablow, M.D.
• Cherron Jackson
• Eric Allen Jackson, PHARM.D.
• Tamara Jackson, LCSW
• Daisy Jacob, M.D.
• Dennis Peter Jacob, MD
• Jason Chacko Jacob, MD
• Mekha Jacob

• Adult Health Nurse Practitioner in Hartford, CT
• Providers in Hartford, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.