SUSIE BERNICE JACKSON (NPI# 1194350579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350579 |
| Entity Type | Individual |
| Full Name | SUSIE BERNICE JACKSON |
| Practice Address |
41 Copper Ridge Ct Deatsville AL 36022-3242 |
| Practice Telephone | 3342908131 |
| Mailing Telephone | 3342908131 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 3251 | AL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | DEPARTMENT OF MENTAL HEALTH | 3251 | 01 |
| Street Address |
41 COPPER RIDGE CT |
| City | DEATSVILLE |
| State | AL |
| Zip Code | 36022-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619352549 | Amanda Warr | Dietitian, Registered | 25 Skyline Dr, Deatsville, AL 36022 | 2015-07-21 |
| 1588862635 | Ti-resurrection Life Center, L.L.C. | Assisted Living Facility | 65 Charlton Place, Deatsville, AL 36022 | 2007-07-10 |
| 1437309317 | Deatsville Care Foundation, Inc. | Skilled Nursing Facility | 65 Charlton Place, 1240 County Road 39, Deatsville, AL 36022 | 2008-09-26 |
| 1972509453 | Resurrection Life Center | Skilled Nursing Facility | 1240 County Road 39, Deatsville, AL 36022-2536 | 2005-06-21 |
| 1871190256 | Charles M Thorn | Radiology | 204 Debbie Dr, Deatsville, AL 36022-2567 | 2020-10-08 |
| 1366725780 | Ashley Stone Sellers | Pharmacist | 174 Jasmine Ct, Deatsville, AL 36022-2588 | 2011-09-21 |
| 1184045957 | Brandy Stroup Young | Registered Nurse | 408 Hidden Valley Rd, Deatsville, AL 36022-2647 | 2013-12-21 |
| 1033351580 | Seana L Wade | Speech-Language Pathologist | 65 Charlton Pl, Deatsville, AL 36022-2697 | 2009-03-30 |
| 1922240472 | Robert Steven Browning | Registered Nurse | 65 Charlton Pl, Deatsville, AL 36022-2697 | 2009-03-30 |
| 1437653037 | Express Mro | Family Medicine | 2175 Us Highway 31 N, Deatsville, AL 36022-2714 | 2018-03-20 |
| Find all providers in zip 36022 | ||||
| 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 |
|---|---|---|---|---|
| 1457951063 | Courtney Hall | Home Health Aide | 3223 Spring Hill Ave, Mobile, AL 36607-1809 | 2020-11-01 |
| 1548868482 | Arlethea Michelle Zimmerman | Home Health Aide | 7525 64th Courtway S # 44, Birmingham, AL 35212-2001 | 2020-10-13 |
| 1629675822 | Lacresia Donyale Seals | Home Health Aide | 318 Coosa Pines Dr, Childersburg, AL 35044-1314 | 2020-10-01 |
| 1720695463 | Teokelia Renza Lowery-boyd | Home Health Aide | 121 Wisteria Dr, Alabaster, AL 35007-5391 | 2020-09-27 |
| 1356956098 | Ericia Laticia Smith | Home Health Aide | 402 N 11th Ave, Lanett, AL 36863-1917 | 2020-09-10 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1255953287 | Leshaye M Dickerson | Home Health Aide | 3121 Wenonah Rd Sw, Birmingham, AL 35211-5735 | 2020-05-13 |
| 1164051629 | Better Solutions In Home Healthcare Alabama, LLC | Home Health Aide | 1676 Hunters Run, Tuscaloosa, AL 35405-6745 | 2020-04-06 |
| 1619504404 | Loretta Geil Coombs | Home Health Aide | 576 Azalea Rd Ste 124, Mobile, AL 36609-1516 | 2020-03-24 |
| 1528693918 | Teresa Ann Alley | Home Health Aide | 1501 County Park Rd, Scottsboro, AL 35769-3927 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | DEATSVILLE |
| Zip Code | 36022 |
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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.