KIMBERLY JACKSON (NPI# 1215422282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215422282 |
| Entity Type | Individual |
| Full Name | KIMBERLY JACKSON |
| Credential | LPN |
| Practice Address |
920 Boardman Canfield Rd Boardman OH 44512-4218 |
| Mailing Address |
98 Westchester Dr Austintown OH 44515-3901 |
| Practice Telephone | 3309533402 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.158865 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951394 | Kimberly Sue Jackson | Home Health Aide | 26 W Warner Rd, Coventry Township, OH 44319-1732 | 2020-10-29 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1184244063 | Kimberly Jackson | Music Therapist | 121 Koeppe Dr, Sequim, WA 98382-9489 | 2020-04-21 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1386188332 | Kimberly Jackson | Dietitian, Registered | 2318 Longcourt Way Se, Atlanta, GA 30339-0902 | 2016-12-10 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1639535719 | Kimberly Renee Jackson | Massage Therapist | 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 | 2016-01-05 |
| 1275934887 | Kimberly Jackson | Counselor | 213 Barrett St, Wilmington, DE 19802-2004 | 2014-09-15 |
| 1972930279 | Kimberly Jackson | Nurse's Aide | 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 | 2013-10-01 |
| Street Address |
920 BOARDMAN CANFIELD RD |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558580 | New Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2017-06-18 |
| 1669006680 | Chantay Stubbs | Counselor | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2020-02-28 |
| 1245862200 | Gabrielle Blake | Counselor | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2020-02-07 |
| 1689206641 | Chelsea Coffy | Licensed Practical Nurse | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2020-02-07 |
| 1881226892 | Adam Steurer | Counselor | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2020-02-07 |
| 1962055814 | Jennifer Hake | Counselor | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2019-07-19 |
| 1396203154 | Robert J Cross | Licensed Practical Nurse | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2019-03-11 |
| 1336616754 | Jill A Kaneski | Licensed Vocational Nurse | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2018-10-24 |
| 1669965943 | Christina C Simmons | Licensed Practical Nurse | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2018-06-11 |
| 1790274306 | Reyna Marian Thomae-starzyk | Social Worker | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1104311166 | Whitney Rivera | Licensed Practical Nurse | 920 Boardman Canfield Rd Ste 4, Boardman, OH 44512-4218 | 2018-06-22 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1013435445 | Katina Thornton | Licensed Practical Nurse | 7430 Sierra Madre Trl, Boardman, OH 44512-5533 | 2017-09-06 |
| 1811436983 | Danasha Latia Collier | Licensed Practical Nurse | 7204 Glendale Ave, Boardman, OH 44512-4819 | 2017-02-22 |
| 1851728679 | Krystina Boano | Licensed Practical Nurse | 7355 Sierra Madre Trl, Boardman, OH 44512-5532 | 2013-10-11 |
| 1558650275 | Tiffany Lynn Martino | Licensed Practical Nurse | 37 Sciota Ave, Boardman, OH 44512-3304 | 2011-04-04 |
| 1972750651 | Cynthia Esther Vega-herrera | Licensed Practical Nurse | 192 Indianola Rd, Boardman, OH 44512 | 2008-08-25 |
| 1396865994 | Deborah Arnette Carpenter | Licensed Practical Nurse | 6640 Mill Creek Blvd, Boardman, OH 44512-4109 | 2007-03-29 |
| 1588298848 | Brandy D Smith | Licensed Practical Nurse | 955 Windham Ct Ste 2, Boardman, OH 44512-5035 | 2020-02-26 |
| 1689206641 | Chelsea Coffy | Licensed Practical Nurse | 920 Boardman Canfield Rd, Boardman, OH 44512-4218 | 2020-02-07 |
| Find all providers in BOARDMAN | ||||
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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.