Taneisha Jacson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN1003671 Issued in DC

Practice address

4660 Martin Luther King Jr Ave SW Ste A3
Washington, DC 20032-4958

Phone

(202) 558-4681

NPI assigned

Apr 1, 2010

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)

Enrolled

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1740505783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 36TH PL",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823909",
            "telephone_number": "240-441-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324958",
            "telephone_number": "202-558-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACSON",
        "first_name": "TANEISHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1003671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Alan Jacobson, PA-C
• Diane Moira Jacobstein, MD
• Tyler James Jacques, D.M.D.
• Naike Christelle Jacquet, PNP
• Cyril Jacquot, M.D./PH.D.
• Jade Clinical Services
• Samantha Jade
• Mandar Jadhav, MD
• Leslie Moore Jadin, PH.D.
• Abdul Karim Jadun, D.D.S.

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.