Active NPI
Jacqueline Carson
- Nurse's Aide
- Cleveland, OH
National Provider Identifier
1952708448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401053050310
- Practice address
- 3471 E 78TH St
Cleveland, OH 44127-2018 - Phone
- (216) 570-7869
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 401053050310 | OH | |
| Nurse's Aide | 376K00000X | 401053050310 | OH | Primary |
Addresses
Primary practice location
3471 E 78TH St
Cleveland, OH 44127-2018
Mailing address
3471 East 78TH Street
Cleveland, OH 44127
Phone (216) 570-7869
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401053050310 | OH | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1952708448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 EAST 78TH STREET",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44127",
"telephone_number": "216-570-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 E 78TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441272018",
"telephone_number": "216-570-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OH",
"license": "401053050310",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401053050310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.