HOLLI LIN JACKSON (NPI# 1023596624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023596624 |
| Entity Type | Individual |
| Full Name | HOLLI LIN JACKSON |
| Practice Address |
4213 Wilson Ave Des Moines IA 50317-2868 |
| Practice Telephone | 5158677573 |
| Mailing Telephone | 5158677573 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598289233 | Holli Cheree Jackson | Specialist/Technologist | 21400 Magnolia St, Huntington Beach, CA 92646-6306 | 2017-08-02 |
| 1629547716 | Holli Jackson | Behavioral Analyst | 7932 Summa Ave Ste B2, Baton Rouge, LA 70809-3736 | 2018-11-19 |
| 1699100511 | Holli Vern Jackson | Social Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2013-09-10 |
| Street Address |
4213 WILSON AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50317-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239128 | William Shane Lounsbery | Counselor | 2824 E 38th Street, Des Moines, IA 50317 | 2012-01-30 |
| 1710275904 | Jessica Lyn Deboom | Counselor | C/o Prairie Wellness, 3209 Ingersoll Ave Ste 100, Des Moines, IA 50317 | 2011-07-21 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1578688545 | Adam Fredrick Fuller | Dentist | 3223 E 29th Street, Des Moines, IA 50317 | 2007-03-20 |
| 1902938699 | C Fredrick Fuller | Dentist | 3223 E 29th St, Des Moines, IA 50317 | 2007-03-09 |
| 1164593596 | Darrin E Ausman | Occupational Therapist | 2918 East University Avenue, Des Moines, IA 50317 | 2006-11-09 |
| 1386715720 | Laura Anne Henry | Physical Therapist | 2918 East University Aveneue, Des Moines, IA 50317 | 2006-11-09 |
| 1295784494 | James A Blasco | Optometrist | 2566 Hubbell Ave, Des Moines, IA 50317 | 2006-05-08 |
| 1457327116 | Danice Franchelle Klimek | Internal Medicine | 2524 E 42nd St, Des Moines, IA 50317 | 2006-02-23 |
| 1881699486 | Hospice of Central Iowa | Hospice Care, Community Based | 3000 Easton Blvd, Des Moines, IA 50317 | 2005-06-20 |
| Find all providers in zip 50317 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101079 | Elizabeth D Fitzpatrick | Technician | 231 E Rose Ave, Des Moines, IA 50315-7748 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475490 | Sharon Murray | Technician | 716 24th St Nw, Cedar Rapids, IA 52405-2904 | 2020-10-22 |
| 1609423961 | Lori J Voyek | Technician | 301 Sycamore St, Janesville, IA 50647-7749 | 2019-08-21 |
| 1164075503 | Marcus Timmons | Technician | 1510 S 10th St, Burlington, IA 52601-3754 | 2019-07-23 |
| 1073732400 | Kimberly Sue Anderson | Technician | 1140 Avenue B, Fort Dodge, IA 50501-4586 | 2007-04-24 |
| 1568552586 | Delya Fynbo | Technician | 107 Logan Ave., Scarville, IA 50473-7700 | 2006-10-13 |
| 1659991305 | Liyah Jackson | Technician | 1607 W 12th St, Davenport, IA 52804-4086 | 2020-04-23 |
| City | DES MOINES |
| Zip Code | 50317 |
Please comment or provide details below to improve the information on HOLLI LIN JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.