Active NPI
Jenica Marquis Arnold, CERTIFIED CAREGIVER
- Home Health Agency
- Jackson, MS
National Provider Identifier
1841963683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 2115 Morton Ave
Jackson, MS 39213-7732 - Phone
- (769) 237-7742
- NPI assigned
- Jul 28, 2021
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MS | Primary |
Addresses
Primary practice location
2115 Morton Ave
Jackson, MS 39213-7732
Mailing address
2115 Morton Ave
Jackson, MS 39213-7732
Phone (769) 237-7742
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jenicaar3@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1841963683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 MORTON AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137732",
"telephone_number": "769-237-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 MORTON AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392137732",
"telephone_number": "769-237-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "JENICA",
"middle_name": "MARQUIS",
"name_prefix": "Miss",
"credential": "CERTIFIED CAREGIVER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jenicaar3@gmail.com",
"affiliation": "N",
"endpointDescription": "My email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Files",
"address_1": "345 Daniel Lake Blvd Apt 14H",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392124910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.