CHARLOTTE JACKSON (NPI# 1417503970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417503970 |
| Entity Type | Individual |
| Full Name | CHARLOTTE JACKSON |
| Practice Address |
1236 Benning Pl Pensacola FL 32506-1205 |
| Practice Telephone | 8133317481 |
| Mailing Telephone | 8133317481 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1236 Benning Pl, Pensacola, FL 325061205 | 8133317481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843507 | Charlotte Lynetta Jackson | Registered Nurse | 7610 Ashmole Ln, Houston, TX 77088-5658 | 2019-04-17 |
| 1003143777 | Charlotte Bell Jackson | Dietitian, Registered | 911 South Hughes Street, Apex, NC 27502-7731 | 2009-11-17 |
| 1346872363 | Charlotte Cormier Jackson | Case Manager/Care Coordinator | 449 E Saint Peter St, New Iberia, LA 70560-3752 | 2020-02-07 |
| 1356528590 | Charlotte L Jackson | Counselor | 14733 S Telegraph Rd, Monroe, MI 48161-9545 | 2008-01-30 |
| Street Address |
1236 BENNING PL |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| Find all providers in zip 32506 | ||||
| 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 |
|---|---|---|---|---|
| 1184274250 | Luzviminda Banares | Technician | 6303 Nashville Ave., Pensacola, FL 32526 | 2019-09-19 |
| 1831749670 | Georgia Linda Sfanos Capel | Technician | 2521 John Paul Jones Dr, Pensacola, FL 32505-3409 | 2019-09-13 |
| 1194374744 | Paula Leary Tweedie | Technician | 10395 Old Dairy Ln, Pensacola, FL 32534-1300 | 2019-09-06 |
| 1487201307 | Lora Olvera | Technician | 5 Delaware St, Pensacola, FL 32506-6430 | 2019-08-26 |
| 1467758870 | Katja Dieneen Richardson | Technician | 724 N K St, Pensacola, FL 32501-2729 | 2011-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
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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.