JACKIE RENEA' PERRY (NPI# 1215403506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215403506 |
| Entity Type | Individual |
| Full Name | JACKIE RENEA' PERRY |
| Credential | LPN |
| Practice Address |
4350 Appleton Place Kettering OH 45440-4532 |
| Mailing Address |
2888 Valleyview Dr Fairborn OH 45324-2252 |
| Practice Telephone | 9376039841 |
| Mailing Telephone | 9376039841 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 137852.MEDS-IV | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659497147 | Jackie Denise Perry | Physical Therapy Assistant | 8748 Lackawanna Ave, Baltimore, MD 21234-3506 | 2007-03-22 |
| Street Address |
4350 APPLETON PLACE |
| City | KETTERING |
| State | OH |
| Zip Code | 45440-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| 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 |
|---|---|---|---|---|
| 1174174478 | Kelly Hughes | Licensed Practical Nurse | 2525 Montbello Cir, Kettering, OH 45440-2352 | 2019-09-27 |
| 1366958100 | Leila Moudjed | Licensed Practical Nurse | 2333 E Dorothy Ln, Kettering, OH 45420-1147 | 2017-12-15 |
| 1164979068 | Mariah Henderson | Licensed Practical Nurse | 4205 Frieda Ln, Kettering, OH 45429-3104 | 2016-09-08 |
| 1982157913 | Charity Huff | Licensed Practical Nurse | 2128 Colton Dr, Kettering, OH 45420-1411 | 2016-07-26 |
| 1164867511 | Melissa Flanagan | Licensed Practical Nurse | 5432 Landau Dr, Kettering, OH 45429-5448 | 2013-04-29 |
| 1093055733 | Jill Marie Johnson | Licensed Practical Nurse | 2224 Hazelhurst Ct, Kettering, OH 45440-1137 | 2013-02-17 |
| 1801149315 | Bobbie Lynn Bryant | Licensed Practical Nurse | 645 Hadley Ave, Kettering, OH 45419-2706 | 2012-10-22 |
| 1265782916 | Amanda Lynn Swann | Licensed Practical Nurse | 2041 Richfield Dr, Kettering, OH 45420-2011 | 2012-09-10 |
| 1568719433 | Massah Siafa | Licensed Practical Nurse | 1001 Mendota Ct, Kettering, OH 45420-1416 | 2012-08-10 |
| 1235485418 | Kevin Gati | Licensed Practical Nurse | 1370 Devon Ave, Apt E1, Kettering, OH 45429-3652 | 2012-07-25 |
| Find all providers in KETTERING | ||||
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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.