Individual provider Active NPI

Jenica Marquis Arnold, CERTIFIED CAREGIVER

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1841963683
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
2115 Morton Ave
Jackson, MS 39213-7732
Phone
(769) 237-7742
NPI assigned
Jul 28, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.