Verneeky Carenda Jackson, PERSONAL CARE AIDE

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

8260 Atlee Road
Bon Secours Memorial Regional Medical Center
Mechanicsville, VA 23116-2309

Phone

(804) 764-6000

Fax

(804) 764-6324

NPI assigned

Jan 5, 2016

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

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1720444839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 SPRENKLE LN APT C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232283580",
            "telephone_number": "804-502-5897",
            "fax_number": "804-501-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE ROAD",
            "address_2": "BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-764-6000",
            "fax_number": "804-764-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VERNEEKY",
        "middle_name": "CARENDA",
        "name_prefix": "Ms.",
        "credential": "PERSONAL CARE AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Izzo, P.T.
• Kaydreyanna Jackson
• Laura M Jackson, MS, CCC-SLP
• Rebecca Jackson, LPT
• Shanta Dayjah Jackson, RDN
• Patricia Jacob, P.T.
• Saeed Jadali, M.D.
• Annabelle Claire Jajuga
• James H Cane MD PC
• James River Dermatology PLLC

• Home Health Aide in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Home Health Aide in Virginia

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