SANDRA DENISE JACKSON (NPI# 1255535860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255535860 |
| Entity Type | Individual |
| Full Name | SANDRA DENISE JACKSON |
| Credential | LVN |
| Practice Address |
708 Bond St Copperas Cove TX 76522-3079 |
| Practice Telephone | 2544581811 |
| Mailing Telephone | 2544581811 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 157464 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1710230917 | Sandra Evans Jackson | Counselor | 1035 Director Ct, Suite C, Greenville, NC 27858-5996 | 2012-10-25 |
| 1407170665 | Sandra Marie Jackson | Marriage & Family Therapist | 6809 Indiana Ave Ste B8, Riverside, CA 92506 | 2010-03-17 |
| 1619118288 | Sandra Denise Jackson | Durable Medical Equipment & Medical Supplies | 4303 Herridge St, Houston, TX 77022-3944 | 2009-03-11 |
| 1740425735 | Sandra Renee Jackson | Physical Therapist | 4476 Winding Creek Rd, Manlius, NY 13104-2482 | 2008-12-05 |
| 1316089840 | Sandra Gordon Jackson | Social Worker | 2121 Sage Rd Ste 180, Houston, TX 77056-4326 | 2007-02-12 |
| 1326195959 | Sandra Jackson | Social Worker | 2750 N Lakeview Dr, Warsaw, IN 46582-8408 | 2007-01-04 |
| 1366459778 | Sandra G. Jackson | Counselor | 1900 E. Tenth Street, Alamogordo, NM 88310 | 2006-08-01 |
| 1396717286 | Sandra F Jackson | Nurse Practitioner | 23 W 37th St, Wilmington, DE 19802-2225 | 2006-02-03 |
| Street Address |
708 BOND ST |
| City | COPPERAS COVE |
| State | TX |
| Zip Code | 76522-3079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150540 | Kassandra Bills | Physical Therapist | 1521 E Us-190, Copperas Cove, TX 76522 | 2020-09-30 |
| 1295340529 | William Edmond Wicheta Iv | Dentist | 3010 East Highway 190 Ste 130, Copperas Cove, TX 76522 | 2020-09-14 |
| 1669081923 | Southern Hills Chiropractic | Chiropractor | 1856 Patriot Cir, Copperas Cove, TX 76522 | 2020-07-23 |
| 1033735519 | Cody Michael Elenz | Chiropractor | 1856 Patriot Circle, Copperas Cove, TX 76522 | 2020-06-22 |
| 1811526247 | Silas Michael Lowery | Occupational Therapist | 1521 East Us 190, Copperas Cove, TX 76522 | 2020-04-07 |
| 1205475845 | Mia Campos | Behavioral Analyst | 1315 Mlk Jr Dr, Copperas Cove, TX 76522 | 2019-12-30 |
| 1952954638 | Cassidy Jo Mayo | Pharmacist | 2290 East Highway 190, Copperas Cove, TX 76522 | 2019-07-22 |
| 1629639448 | Van Anh Teresa Nguyen | Dentist | 2726 East Hwy 190, Suite 112, Copperas Cove, TX 76522 | 2019-06-24 |
| 1558925636 | Copperas Cove Dentistry and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 2726 E Business 190 Suite 112, Copperas Cove, TX 76522 | 2019-04-24 |
| 1336604867 | Lspd At Cove Pllc | Dentist | 2705 E Hwy 190, Suite 101, Copperas Cove, TX 76522 | 2019-02-08 |
| Find all providers in zip 76522 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1700401460 | Betina Nickcolle Cash | Licensed Vocational Nurse | 2402 Griffin Dr, Copperas Cove, TX 76522-7714 | 2020-06-09 |
| 1568008100 | Donna Jean Karl | Licensed Vocational Nurse | 211 Hickory Cir, Copperas Cove, TX 76522-1170 | 2019-11-19 |
| 1467093757 | Melony Mogck | Licensed Vocational Nurse | 325 Janelle Dr Apt A, Copperas Cove, TX 76522-1473 | 2019-10-08 |
| 1912558198 | Gabrielle Johnson | Licensed Vocational Nurse | 807 S 13th St, Copperas Cove, TX 76522-2713 | 2019-09-27 |
| 1851956627 | Daisy Rosado | Licensed Vocational Nurse | 903 N 23rd St, Copperas Cove, TX 76522-1212 | 2019-05-07 |
| 1972168128 | Linda Spencer | Licensed Vocational Nurse | 1310 Travis Cir, Copperas Cove, TX 76522-1561 | 2019-05-02 |
| 1457855959 | Nicole Charles | Licensed Vocational Nurse | 306 Sumac Trl, Copperas Cove, TX 76522-7586 | 2018-03-20 |
| 1033613534 | Shari Jennette Barnhart | Licensed Vocational Nurse | 403 N 17th St, Copperas Cove, TX 76522-1445 | 2018-03-20 |
| 1205336146 | Ebony Nicole Moore | Licensed Vocational Nurse | 1601 Lubbock Dr, Copperas Cove, TX 76522-2186 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | COPPERAS COVE |
| Zip Code | 76522 |
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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.