JACQUELINE REAVES (NPI# 1194365692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194365692 |
| Entity Type | Individual |
| Full Name | JACQUELINE REAVES |
| Credential | LPN |
| Practice Address |
3993 Leather Stocking Trl Columbus OH 43230-1528 |
| Mailing Address |
Po Box 307514 Gahanna OH 43230-7514 |
| Practice Telephone | 6148068647 |
| Mailing Telephone | 6147587700 |
| Mailing Fax Number | 4047957118 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 142153 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 84-4156364 | 05 |
| Street Address |
3993 LEATHER STOCKING TRL |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43230-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638964 | Prestige Comfort Home Care LLC | In Home Supportive Care | 3993 Leather Stocking Trl, Columbus, OH 43230-1528 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| 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 |
|---|---|---|---|---|
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1558976621 | Ruby Kay Miller | Licensed Practical Nurse | 1387 Georgesville Rd, Columbus, OH 43228-3611 | 2020-09-15 |
| 1295346633 | Velita Trinea Harris | Licensed Practical Nurse | 5461 York Ln N, Columbus, OH 43232-1564 | 2020-08-10 |
| 1205446168 | Muna Jama | Licensed Practical Nurse | 3422 Partridge Pl Apt 103, Columbus, OH 43231-4920 | 2020-08-05 |
| 1174132211 | Josephine Mustapha | Licensed Practical Nurse | 5446 Maple Canyon Ave, Columbus, OH 43229-3823 | 2020-07-24 |
| 1720603962 | Michael Nti | Licensed Practical Nurse | 7772 Pinney Hill Ct, Columbus, OH 43085-4876 | 2020-06-13 |
| 1396360913 | Alicia Brime | Licensed Practical Nurse | 5550 Sierra Ridge Dr, Columbus, OH 43231-6728 | 2020-06-09 |
| 1891319232 | Ciara Murphy | Licensed Practical Nurse | 345 E Deshler Ave, Columbus, OH 43206-2786 | 2020-06-02 |
| 1891317434 | Comfort Abigail Adoma Boakye | Licensed Practical Nurse | 4152 Rita Joanne Ln, Columbus, OH 43230-4060 | 2020-05-16 |
| 1487280228 | Tamika C Jones | Licensed Practical Nurse | 4972 Buttonbush St, Columbus, OH 43230-4166 | 2020-03-12 |
| Find all providers in COLUMBUS | ||||
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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.