Martez Jackson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

721 W Saginaw St
Lansing, MI 48915-1960

Phone

(313) 355-2829

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1972310613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151960",
            "telephone_number": "313-355-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151960",
            "telephone_number": "313-355-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARTEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jackson, PT
• Immanuel Jackson, DO
• Jacklyn Jackson
• Lindsey Jackson, LLMSW
• Mackenzie Loren Jackson, MD
• Tiffany Jackson
• Zarah Jackson, MA
• Elizabeth Therese Jacobs, MD
• Laurel Jacqmain, SST
• Nagham Leanne Jafar, MD

• Home Health Aide in Lansing, MI
• Providers in Lansing, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.