ANDREW JAY JACKSON (NPI# 1093279572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093279572 |
Entity Type | Individual |
Full Name | ANDREW JAY JACKSON |
Practice Address |
125 County Road 4209 Jacksonville TX 75766-5574 |
Practice Telephone | 9032841056 |
Mailing Telephone | 9032841056 |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
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 |
---|---|---|---|---|
1568591287 | Andrew Lee Jackson | Dentist | 600 Mccranie Avenue, Willacoochie, GA 31650 | 2007-03-06 |
1194811240 | Andrew Spencer Jackson | Dentist | 1832 Capitol St, Vallejo, CA 94590 | 2006-10-05 |
1245291954 | Andrew Dan Jackson | Chiropractor | 1025 W Carolina Ave, Hartsville, SC 29550-4427 | 2006-03-31 |
1447850227 | Andrew Jackson | Pharmacist | 3520 Hudson Dr, Stow, OH 44224-2907 | 2020-10-29 |
1528559358 | Andrew Jackson | Case Manager/Care Coordinator | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2018-05-29 |
1134618820 | Andrew Jackson IIi | Chiropractor | 460 S 14th St, Midlothian, TX 76065-3514 | 2018-05-08 |
1497253835 | Andrew Boyd Jackson | Emergency Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912 | 2018-01-31 |
1285172841 | Andrew Jackson | General Acute Care Hospital | 284 N Hospital Dr, Price, UT 84501-4233 | 2017-02-03 |
1508309055 | Andrew Jackson IIi | Case Manager/Care Coordinator | 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 | 2016-11-30 |
1285177253 | Andrew Jackson | Naturopath | 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 | 2016-11-23 |
Street Address |
125 COUNTY ROAD 4209 |
City | JACKSONVILLE |
State | TX |
Zip Code | 75766-5574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
Find all providers in zip 75766 |
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 |
---|---|---|---|---|
1972141224 | Ami B Kowalski | Technician | 8161 Crosswind Rd, Jacksonville, FL 32244-5453 | 2019-12-17 |
1104462423 | Geoffrey C Lane | Technician | 4216 Old Mill Cove Trl W, Jacksonville, FL 32277-1582 | 2019-11-21 |
1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
1790259729 | Juanita R. Cooks | Technician | 3224 Liberty Cir, Jacksonville, FL 32206-2101 | 2019-01-12 |
1669945606 | Suzie Pennington | Technician | 7541 Fawn Lake Dr N, Jacksonville, FL 32256-3665 | 2019-01-02 |
1518439876 | Angela Rand | Technician | 1710 Naldo Ave, Jacksonville, FL 32207-3138 | 2018-12-27 |
1366913394 | Sandra Prince Alvey | Technician | 2829 Seville Ct, Jacksonville, FL 32207-4622 | 2018-12-17 |
1235600321 | Angela Justina Mcdonald | Technician | 3047 Mikris Dr E, Jacksonville, FL 32225-7607 | 2018-12-16 |
1306317359 | Lauren Renee Simao | Technician | 1665 Cedar Bay Rd, Jacksonville, FL 32218-4971 | 2018-12-16 |
1861976714 | Tomilko Adina Burden | Technician | 5984 Windsor Forest Dr Apt 5, Jacksonville, FL 32210-7802 | 2018-09-17 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 75766 |
Please comment or provide details below to improve the information on ANDREW JAY 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.