Jaquisha Macklin

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

2780 Lamar Ave Ste 101
Memphis, TN 38114-5017

Phone

(901) 672-0716

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1861154718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 WATER MILL DR APT 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167492",
            "telephone_number": "901-538-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 LAMAR AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145017",
            "telephone_number": "901-672-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "JAQUISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Mackay
• Randol B Mackey, CRNA
• Beverly Macklin, M.A.
• Cedric Macklin
• Gabriele Macklin
• Justin J Macklin, PHARM D.
• Olivia Maclaren, MD
• Carlisha Maclin
• Karol Latonya Maclin, RN, MSN, FNP-C
• Kristen Maclin

• Prosthetist in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.