LILLIE PEARL JACKSON (NPI# 1174039945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174039945 |
| Entity Type | Individual |
| Full Name | LILLIE PEARL JACKSON |
| Credential | LPN |
| Practice Address |
1611 W 35th St Riviera Beach FL 33404-2925 |
| Practice Telephone | 5615429923 |
| Mailing Telephone | 5615429923 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5175495 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881047710 | Lillie Jackson | Physician Assistant | 4704 Cahaba River Rd # 101d, Birmingham, AL 35243-2344 | 2016-07-15 |
| 1427331735 | Lillie R. Jackson | Ambulance | 600 Kenrick Dr Ste C26, Houston, TX 77060-3698 | 2011-09-22 |
| 1841772183 | Lillie Jackson | Social Worker | 333 S Main St Ste 607, Akron, OH 44308-1228 | 2018-09-04 |
| 1649626417 | Lillie Jackson | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2016-05-10 |
| 1982025771 | Lillie Pearl Jackson | Community Health Worker | 2401 Buena Vista Rd, Columbus, GA 31906-3142 | 2013-12-20 |
| Street Address |
1611 W 35TH ST |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33404-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1417509613 | Amber Tamara Seaman | Social Worker | 2001 Bue Herron Drive, Riviera Beach, FL 33404 | 2019-07-09 |
| 1407419252 | Tiara Priester | Nurse's Aide | 1625 West 26th Street Riviera Beach,fl, Riviera Beach, FL 33404 | 2019-04-17 |
| 1598274110 | Yolanda Victoria Mckinney-foy | Counselor | 2910 Avenue F, Riviera Beach, FL 33404 | 2017-09-26 |
| 1356867626 | Lynette Patrice Copeland | Speech-Language Pathologist | 1901 Avenue S, 1901 Avenue S, Rivera Beach, FL 33404 | 2017-08-18 |
| 1205359320 | Community Development and Empowerment Group, Inc. | Registered Nurse | 3148 Laurel Ridge Circle, Riviera Beach, FL 33404 | 2017-07-20 |
| 1407387327 | Chelsea Flint | Counselor | 2201 Blue Heron Blvd. W., Riviera Beach, FL 33404 | 2017-03-22 |
| 1841736923 | Tangeria Mckinney | Clinic/Center | 1992 West 16th Court Apt D, Riviera Beach, FL 33404 | 2017-01-12 |
| 1942742994 | Ambrosia Treatment Center | Substance Abuse Rehabilitation Facility | 2675 Lake Drive, Singer Island, FL 33404 | 2016-11-08 |
| 1225499874 | Rhesa Riley | Marriage & Family Therapist | 2001 Blue Heron Blvd W., Riviera Beach, FL 33404 | 2016-03-10 |
| Find all providers in zip 33404 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1770107823 | Alicia D Adams | Licensed Practical Nurse | 178 E 27th St Apt 3, Riviera Beach, FL 33404-4554 | 2020-06-04 |
| 1558874545 | Feleshia Bythwood Tissiera | Licensed Practical Nurse | 2608 Avenue M, Riviera Beach, FL 33404-4159 | 2017-11-13 |
| 1629296942 | Carla Strachan | Licensed Practical Nurse | 2172 Oakmont Dr, Riviera Beach, FL 33404-1831 | 2007-04-23 |
| 1306288378 | Candice Marie Franck | Licensed Practical Nurse | 2001 Blue Heron Blvd W, Riviera Beach, FL 33404-5003 | 2013-07-19 |
| 1568700839 | Comprehensive Caring Inc | Licensed Practical Nurse | 1051 Coral Way, Riviera Beach, FL 33404-2708 | 2013-01-22 |
| 1013106848 | Linda Gordon | Licensed Practical Nurse | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2007-10-17 |
| 1689638413 | Taralin Simmons Moore | Licensed Practical Nurse | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962175 | Talor Meigs | Licensed Practical Nurse | 870 Mande Ct, Shalimar, FL 32579-2303 | 2020-11-02 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1841898657 | Tamesha L Montgomery | Licensed Practical Nurse | 112 Stock Ave, Interlachen, FL 32148-5095 | 2020-10-14 |
| 1346857299 | Ieshia Nesbitt | Licensed Practical Nurse | 9633 Ne 2nd Dr, Wildwood, FL 34785-8440 | 2020-09-24 |
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1366057796 | Djuana M Carter | Licensed Practical Nurse | 1837 Lake Chapman Dr Unit 202, Brandon, FL 33510-4169 | 2020-09-11 |
| 1881208130 | Myra Louise Peoples | Licensed Practical Nurse | 4473 Se Village Rd, Stuart, FL 34997-8234 | 2020-09-03 |
| 1417560731 | Melanie Reyes | Licensed Practical Nurse | 968 Allendale Rd, West Palm Beach, FL 33405-1346 | 2020-08-26 |
| 1003429788 | Meline St Pierre | Licensed Practical Nurse | 6607 Willow Street, Zellwood, FL 32798 | 2020-08-24 |
| 1427669134 | Phedia Jean Baptiste | Licensed Practical Nurse | 4709 Nw 9th Dr, Plantation, FL 33317-1482 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | RIVIERA BEACH |
| Zip Code | 33404 |
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| 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.