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Regina Jackson

NPI 1588253884ActiveIndividual· Community Health Worker· Frederick, MD

Community Health Worker in Frederick, Maryland, with an NPI issued in January 2021.

Overview

NPI1588253884
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJan 12, 2021
Last updated in NPPESJan 12, 2021
Certified by providerJan 12, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Community Health Worker Primary172V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Community Health Worker providers in Frederick

All Community Health Worker providers in Maryland