OrganizationActive
Dr. Brandie Jackson, LLC
NPI 1073104089 · Home Health Agency · Williamsburg, VA
Dr. Brandie Jackson, LLC is a Home Health Agency organization in Williamsburg, VA (NPI 1073104089).
Provider details
- NPI number
- 1073104089
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brandie Tena, Doctor of Physical Therapy(757) 707-0945
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3902 Rochambeau Dr
Williamsburg, VA 23188-6620
Phone: (757) 707-0945
Street-level locationGet directions
Mailing address
3902 Rochambeau Dr
Williamsburg, VA 23188-6620
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-01
- Certified
- 2021-02-01
Frequently asked questions
- What is Dr. Brandie Jackson, LLC's NPI number?
- Dr. Brandie Jackson, LLC's National Provider Identifier (NPI) is 1073104089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Brandie Jackson, LLC?
- Dr. Brandie Jackson, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Dr. Brandie Jackson, LLC located?
- Dr. Brandie Jackson, LLC's practice location on file with NPPES is 3902 Rochambeau Dr, Williamsburg, VA 23188-6620.
- What is Dr. Brandie Jackson, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Brandie Jackson, LLC is (757) 707-0945.
- Who is the authorized official for Dr. Brandie Jackson, LLC?
- The authorized official listed on Dr. Brandie Jackson, LLC's NPPES record is Brandie Tena, Doctor of Physical Therapy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Brandie Jackson, LLC's NPI active?
- Yes — Dr. Brandie Jackson, LLC's NPI (1073104089) is active in the NPPES registry as of the last update on 2021-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.