CYNTHIA RANA JACKSON (NPI# 1134759863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134759863 |
| Entity Type | Individual |
| Full Name | CYNTHIA RANA JACKSON |
| Practice Address |
1206 W Central Ave Coolidge AZ 85128-9165 |
| Practice Telephone | 4808869693 |
| Mailing Telephone | 4808869693 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AHCCCS | 468301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205789 | Cynthia Jackson | Technician | 2834 Green Bank Rd, Arbovale, WV 24915-5565 | 2020-08-13 |
| 1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1619441102 | Cynthia Lee Jackson | Licensed Vocational Nurse | 1646 Best Blvd, Wichita Falls, TX 76301-8144 | 2019-01-17 |
| 1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
| 1396298451 | Cynthia Elaine Jackson | Technician, Other | 29167 Village Rd, Southfield, MI 48034-1222 | 2016-07-25 |
| 1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
| 1932534047 | Cynthia A Jackson | Home Health Aide | 2801 Eagle St, Houston, TX 77004-4543 | 2013-09-08 |
| 1326384710 | Cynthia Anne Jackson | Occupational Therapy Assistant | 181 Highway A, Dunnegan, MO 65640-9670 | 2012-12-12 |
| Street Address |
1206 W CENTRAL AVE |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85128-9165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636253 | Terhea A Smith | Physical Therapy Assistant | 2155 W Pima Ave, Coolidge, AZ 85128 | 2019-05-29 |
| 1912310913 | Josette Rossi | Counselor | 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 | 2014-06-06 |
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1346550878 | Laura Grace Lew | Registered Nurse | 800 W. Northern Ave., Coolidge, AZ 85128 | 2010-10-18 |
| 1962682203 | Douglas Santiago | Audiologist | 4713 West Ginger Avenue, Coolidge, AZ 85128 | 2007-11-04 |
| 1528113859 | Pinal County Arizona | Public Health or Welfare | 119 W. Central Avenue, Coolidge, AZ 85128 | 2007-01-25 |
| 1265085567 | The River's Edge Dental | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128 | 2019-07-17 |
| 1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
| 1407981384 | Max A Almodovar | Dentist | 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 | 2007-02-22 |
| 1093805160 | Michael Eugene Wilkinson | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2006-10-12 |
| Find all providers in zip 85128 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346557 | Prince Terrence C Woods | Home Health Aide | 15620 N 25th Ave Apt K209, Phoenix, AZ 85023-6514 | 2020-11-04 |
| 1174121396 | Comonique Russell | Home Health Aide | 2151 E Southern Ave Apt 1082, Mesa, AZ 85204-5358 | 2020-10-09 |
| 1083211288 | Kindred Hearts Assisted Living LLC | Home Health Aide | 530 E Mariposa St Apt 26, Phoenix, AZ 85012-1636 | 2020-10-01 |
| 1518570506 | Ideal Care LLC | Home Health Aide | 4135 N 108th Ave Ste 102, Phoenix, AZ 85037-5462 | 2020-08-28 |
| 1518578566 | Lakeisha Elem | Home Health Aide | 855 N Dobson Rd Apt 1045, Chandler, AZ 85224-6904 | 2020-08-13 |
| 1821612375 | Annie Mayson | Home Health Aide | 8517 W Chickasaw St, Tolleson, AZ 85353-8939 | 2020-06-01 |
| 1427670207 | James Verdieu | Home Health Aide | 2785 W Goldmine Mountain Dr, San Tan Valley, AZ 85142-4752 | 2020-05-14 |
| 1104452903 | People That Care, LLC. | Home Health Aide | 7034 W Peck Dr, Glendale, AZ 85303-4431 | 2020-03-13 |
| 1932734803 | Shane Amour Fulton | Home Health Aide | 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911 | 2020-03-11 |
| 1598397739 | Nasir Adam Ibrahim | Home Health Aide | 4009 S 12th Ave, Tucson, AZ 85714-1452 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CYNTHIA RANA 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.