Individual provider Active NPI

Josephine T Jabbie

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1831627082
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
1005335 Issued in DC
Practice address
6856 Eastern Ave NW Ste 320a
Washington, DC 20012-2112
Phone
(202) 541-9844
Fax
(202) 541-9845
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 1005335 DC Primary

Addresses

Primary practice location

6856 Eastern Ave NW Ste 320a
Washington, DC 20012-2112

Mailing address

6818 Trexler Rd
Lanham, MD 20706-3777
Phone (301) 220-3287

Other identifiers 1

IdentifierTypeStateIssuer
LPN1005335MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1005335DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Linac Services Inc. Past Accepting new patients
Linac Services Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1831627082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 TREXLER RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063777",
            "telephone_number": "301-220-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW STE 320A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122112",
            "telephone_number": "202-541-9844",
            "fax_number": "202-541-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBIE",
        "first_name": "JOSEPHINE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "1005335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LPN1005335",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.