Jacqueline Jackson-James

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867

Phone

(334) 922-9489

NPI assigned

Feb 26, 2021

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marylilhomecareandgirlsclub

  • Home Health Aide
  • Montgomery, AL
  • NPI 1750075529
  NPD Authorized official

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1801480140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 DEXTER AVE STE 4050",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043867",
            "telephone_number": "334-922-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DEXTER AVE STE 4050",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043867",
            "telephone_number": "334-922-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-JAMES",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.marylilhomecare.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "445 Dexter Ave Ste 4050",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361043867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jackson Hospital and Clinic, Inc. (Jackson General Surgery Dr. Randal Sedlak Ste 503)
• Jackson Hospital and Clinics
• Jackson Montgomery Emergency Physcians, LLC
• Jackson Montgomery Hospitalists, LLC
• Jackson Surgery Center, LLC
• Allison Jackson
• Anna Jackson, BCBA
• Candice Grace Jackson, NP-C
• Ciana Alexandria Jackson
• Debrica Jackson

• Home Health Aide in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Home Health Aide in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.