MRS. KATHY LORINE JACKSON (NPI# 1255940391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255940391 |
| Entity Type | Individual |
| Full Name | MRS. KATHY LORINE JACKSON |
| Practice Address |
2504 Toms Creek Rd Wayne WV 25570-9458 |
| Practice Telephone | 3042723528 |
| Mailing Telephone | 3042723528 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
I502513 | WV | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790175354 | Kathy Jackson | Massage Therapist | 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-4903 | 2015-02-03 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1619283595 | Kathy L Jackson | Private Vehicle | 15685 N Iron Bridge Rd, Marshall, IL 62441-4663 | 2010-08-30 |
| 1215971379 | Kathy M Jackson | Family Medicine | 502 W Central Ave, La Follette, TN 37766-3400 | 2006-06-16 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1154728319 | Kathy Lacole Jackson | Public Health or Welfare | 151 E Wood St, Spartanburg, SC 29303-3016 | 2014-12-03 |
| 1255689337 | Kathy Lynn Jackson | Counselor | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2012-08-21 |
| 1104088749 | Kathy Jackson | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-06-25 |
| 1306914296 | Kathy Jo Jackson | Pediatrics | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-12-01 |
| 1811060379 | Kathy Jackson | Physical Therapist | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| Street Address |
2504 TOMS CREEK RD |
| City | WAYNE |
| State | WV |
| Zip Code | 25570-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586532 | Stephanie Michelle Turley | Technician | 207 Mary Davis Branch Road, Wayne, WV 25570 | 2020-10-22 |
| 1508463332 | Cheyann Marie White | Technician | 1317 Left Fork Wilson Creek Road, Wayne, WV 25570 | 2020-10-05 |
| 1619582483 | Joanna Wiley | Technician | 612 Wayne Street, Wayne, WV 25570 | 2020-09-09 |
| 1568076859 | Betty Perry | Technician | 3745 Big Branch Rd, Wayne, WV 25570 | 2020-09-03 |
| 1497367106 | Summer Susanna Bias | Technician | 150 Mose Asbury Road, Wayne, WV 25570 | 2020-08-24 |
| 1508475070 | Donnetta Sue Pratt | Case Manager/Care Coordinator | 1066 Little Lynn Creek Road, Wayne, WV 25570 | 2020-07-30 |
| 1508333659 | Tami Renee Harless | Technician | 112 Riverside Drive Dunrovin Estates, Wayne, WV 25570 | 2018-10-26 |
| 1457867137 | Sarah Minnie Skeens | Technician | 1030 Wilson Creek Road, Wayne, WV 25570 | 2017-12-18 |
| 1497261234 | Zelma Rae Toler | Technician | 112 Riverside Drive, Dunrovan Estate, Wayne, WV 25570 | 2017-12-15 |
| 1639684012 | Patricia Sue Adkins | Technician | 881 Toms Crk Rd, Wayne, WV 25570 | 2017-12-07 |
| Find all providers in zip 25570 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991509 | Esther Brooke Adkins | Technician | 27625 E Lynn Rd, Wayne, WV 25570-9405 | 2020-10-30 |
| 1730789793 | Crystal Lee Kelley | Technician | 514 Front St, Wayne, WV 25570-9678 | 2020-10-29 |
| 1841890746 | Susan Ray Travis | Technician | 10172 Route 152, Wayne, WV 25570-5859 | 2020-10-29 |
| 1558961896 | Beverly Lynn Mcclellan | Technician | 2378 Right Fork Wilson Creek Rd, Wayne, WV 25570-5215 | 2020-10-27 |
| 1710586532 | Stephanie Michelle Turley | Technician | 207 Mary Davis Branch Road, Wayne, WV 25570 | 2020-10-22 |
| 1114526001 | Candy Lynn Pelfrey | Technician | 565 Keyser St, Wayne, WV 25570-9791 | 2020-10-21 |
| 1063010460 | Alesia Marcum | Technician | 27575 E Lynn Rd, Wayne, WV 25570-9419 | 2020-10-16 |
| 1194323782 | Abigail Asbury | Technician | 3909 Big Branch Rd, Wayne, WV 25570-8764 | 2020-10-15 |
| 1508463332 | Cheyann Marie White | Technician | 1317 Left Fork Wilson Creek Road, Wayne, WV 25570 | 2020-10-05 |
| 1063019222 | Rita Faye Porter | Technician | 108 Bridge St Apt 1, Wayne, WV 25570-9537 | 2020-10-01 |
| Find all providers in WAYNE | ||||
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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.