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Hope Lachiel Jackson

Licensed Practical Nurse β€’ Chantilly, VA

Active NPI 1639609233 Individual Practitioner Female Practitioner
Practice location in NPPES

14121 Parke Long Court, Suite 201
Chantilly, VA 20151

Call 7573234471 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14121 Parke Long Court
Suite 201

Chantilly, VA 20151

Telephone 7573234471
Organization at the Same NPPES Address or Phone
Advance Health Ipa, Llc Facility NPI 1790201523

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chantilly and Virginia

10 active clinicians are listed under Licensed Practical Nurse with a practice address in Chantilly, VA (598 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES VA 0002064783

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Amparo Kidd , ANP

Nurse Practitioner - Adult Health

NPI 1326419078

Adult Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Case Manager/Care Coordinator

βœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2017

Registered at 14121 PARKE LONG COURT, SUITE 201, CHANTILLY, VA 20151 (Tel: (757) 323-4471)

πŸ“
Business Mailing Address (Initial Record) June 15, 2017

Registered at 14121 PARKE LONG CT STE 201, CHANTILLY, VA 201511647 (Tel: 7573234471)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2017

Recorded as HOPE JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Licensed Practical Nurse (license number reported to NPPES: VA 0002064783)

🟒
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639609233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

14121 Parke Long Ct Ste 201

Chantilly, VA 201511647

Phone: 7573234471

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.