Shanika Iesha Jefferson

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

E9J2E2T9 Issued in VA

Practice address

123 Timber CT
Lynchburg, VA 24501-2954

Phone

(434) 426-1253

NPI assigned

May 12, 2022

Reactivated

Jun 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1982341889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TIMBER CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012954",
            "telephone_number": "434-426-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 TIMBER CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012954",
            "telephone_number": "434-426-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 E Main St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232194623",
            "country_code": "US",
            "telephone_number": "434-426-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "SHANIKA",
        "middle_name": "IESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "deactivation_date": "2022-05-23",
        "reactivation_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "VA",
            "license": "E9J2E2T9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mobilepleb@veinscorps.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 E Main St Ste 1000",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232194623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Jarboe, RDN
• Rebekah Jarman, LPC
• Golnaz Javey, MD
• Jayne L Manwarren LPC Inc (Jayne L Manwarren)
• Jefferson and Associates Psychological Services, P.C.
• Terry Wayne Jefferson, PH.D.
• Gabrielle Jeifa
• David E. Jenkins, PSY.D.
• Elizabeth Marie Jenkins
• Jessica Nichole Jenkins, MS, CCC-SLP

• Phlebotomy Technician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Phlebotomy Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.