Letetia Johnson Jackson

Key facts

NPI

1841904091

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

1230 Crittenden St NW
Washington, DC 20011-4431

Phone

(202) 722-5020

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2023.

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1841904091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CRITTENDEN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114431",
            "telephone_number": "202-722-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CRITTENDEN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114431",
            "telephone_number": "202-722-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LETETIA",
        "middle_name": "JOHNSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

• Klea R, Jackson
• Lashawn Jackson
• Latricia Jackson
• Laura Monica Jackson
• Leontay Jackson
• Linda Jackson
• Linda Jackson
• Lindsay Ruth Jackson, LCSW-C, LICSW
• Lisa Nanches Jackson
• Lloyd J Jackson, LPC

All providers in Washington, DC · Home Health Aide in District of Columbia