URSULA JACKSON (NPI# 1245873645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245873645 |
| Entity Type | Individual |
| Full Name | URSULA JACKSON |
| Practice Address |
3500 Commission Ct Woodbridge VA 22192 |
| Practice Telephone | 7037639793 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184952459 | Ursula Ann Jackson | Social Worker | 450 Forbes St, East Hartford, CT 06118-1716 | 2009-11-25 |
| 1942758032 | Ursula L Jackson | Nurse Practitioner | 13944 Euclid Ave, East Cleveland, OH 44112-3804 | 2016-09-16 |
| Street Address |
3500 COMMISSION CT |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| 1992234298 | Misty Melissa Brady-lee | Counselor | 4736 Grand Masters Way, Woodbridge, VA 22192 | 2017-06-08 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194538 | Patricia Himan | Technician | 13451 Orangewood Dr, Woodbridge, VA 22193-3920 | 2019-09-30 |
| 1366096380 | Samson Asbu Abraham | Technician | 12691 Castile Ct, Woodbridge, VA 22192-3142 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868540 | Charly Strickland | Technician | 305 Wakefield Dr, Locust Grove, VA 22508-5135 | 2020-10-12 |
| 1174120315 | Martha Coffield | Technician | 2400 Sarah Spence, Williamsburg, VA 23185-8060 | 2020-10-01 |
| 1700493822 | Albert Herdeg | Technician | 319 Wood Duck Ct, Suffolk, VA 23434-8096 | 2020-09-24 |
| 1639784952 | Denise Quarantello | Technician | 4927 Fenton Mill Rd, Williamsburg, VA 23188-6923 | 2020-09-14 |
| 1508471426 | Tyrric Mason | Technician | 633 W Washington St, Petersburg, VA 23803-4132 | 2020-09-09 |
| 1407469653 | Gwenolyn Murphy | Technician | 25460 Meherrin Rd, Capron, VA 23829-2050 | 2020-08-27 |
| 1386253730 | Natosha Hurt | Technician | 27728 Prince Edward Hwy, Rice, VA 23966-2702 | 2020-07-30 |
| 1336757772 | Jaye Hughes | Technician | 5116 Hunters Meadow Pl, Henrico, VA 23231-7668 | 2020-07-22 |
| 1477161107 | Susie Shell | Technician | 154 Baltic Dr, Weber City, VA 24290-7324 | 2020-07-20 |
| 1245857838 | Latifat Adegite | Technician | 10805 Three Chopt Rd, Henrico, VA 23233-2019 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on URSULA JACKSON.
| 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.