Porsha Jefferson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1708 W Meinecke Ave
Milwaukee, WI 53206-2037

Phone

(414) 739-1485

NPI assigned

Oct 27, 2021

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

Practice roles

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.

• Premiere Home Care LLC

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1609734979
  NPD Authorized official
• Valentines Prenatal Services LLC

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1902560717
  NPD Authorized official

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1790449502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W MEINECKE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062037",
            "telephone_number": "414-739-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W MEINECKE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062037",
            "telephone_number": "414-739-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "PORSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Home Healthcare Services LLC
• Jefferson N Calimlim MD SC
• Alexis Simone Jefferson, RN
• Ginger Loren Jefferson, LPN
• Marissa Lee Jefferson, APNP
• Shayla Jefferson, PMHNP, APNP-BC
• Tamecia L Jefferson
• Jeffery Garland MD SC
• Jeffrey T. Follansbee, M.D., S.C.
• Joseph Aaron Jeffries, MD

• Case Manager/Care Coordinator in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.