Jarrell T Jackson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1528 Palmetto St
Apt a
Norfolk, VA 23502-1528

Phone

(757) 741-7355

NPI assigned

Jan 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Jarrell T Jackson Professional name

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1891153219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 PALMETTO ST",
            "address_2": "APT A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021528",
            "telephone_number": "757-741-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 PALMETTO ST",
            "address_2": "APT A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021528",
            "telephone_number": "757-741-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JARRELL",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARRELL",
            "last_name": "JACKSON",
            "middle_name": "T",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sylvester Chukwudi Izah, D.O.
• Jabuda LLC
• Adrienne Jackson, AU.D.
• Christopher Jackson, M.D.
• Elise M Jackson, DPT
• Kari L Jackson, AG-ACNP
• Kourtney Almeitha Jackson
• Ronda Jackson
• Tonya Jackson
• Maria Aguiar Jacob, MD

• Home Health Aide in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.