Racquel Monique Jefferson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

817 N Perry St
Pontiac, MI 48342-1570

Phone

(248) 818-1755

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1811560907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N PADDOCK ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422618",
            "telephone_number": "248-818-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421570",
            "telephone_number": "248-818-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "RACQUEL",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nppes.cms.hhs.gov/#/healthInformationExchange",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "817 N Perry St",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483421570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbranner@maxeffecthealth.com",
            "affiliation": "N",
            "address_1": "817 N Perry St",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483421570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shahid Jamil, M.D.
• Zachary J Jarou, MD, MBA
• Stacey Jarrett, BS
• Brandon Jarvis, M.D.
• Seth Matthew Jaskowiak, D.O.
• Karen Marie Jeffery, LMSW
• Nihar Kanta Jena, M.D.
• Heidi S. Jenney, D.O.
• Elizabeth Ann Jennings, RN
• Suzanne M. Jermstad, NP

• Home Health Aide in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.