KATHLEEN JACKSON (NPI# 1427699685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427699685 |
| Entity Type | Individual |
| Full Name | KATHLEEN JACKSON |
| Practice Address |
3788 Jackson Community Rd Vernon FL 32462-3440 |
| Practice Telephone | 8505277197 |
| Mailing Telephone | 8505277197 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
FL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015421 | Kathleen Jackson | Licensed Practical Nurse | 188 Lovering Ave, Buffalo, NY 14216-1814 | 2008-09-16 |
| 1629264759 | Kathleen Lux Jackson | Registered Nurse | 2894 Komaia Pl, Honolulu, HI 96822-1745 | 2007-09-21 |
| 1508964347 | Kathleen Jackson | Registered Nurse | 7702 W Thurston Ave, Milwaukee, WI 53218 | 2006-09-20 |
| 1073619037 | Kathleen J. Jackson | Nurse Practitioner | 1001 F Lincoln Drive, West, Cooper Familyl Medicine PC, Marlton, NJ 08053-1915 | 2006-09-16 |
| 1548236029 | Kathleen Anne Jackson | Internal Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-02-24 |
| 1538720305 | Kathleen Celeste Jackson | Pharmacist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2019-06-24 |
| 1801323993 | Kathleen Marie Jackson | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2017-05-19 |
| 1356893689 | Kathleen Anne Jackson | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2016-11-03 |
| 1720496326 | Kathleen Grace Jackson | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-07-27 |
| 1699108209 | Kathleen Adele Jackson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2013-08-19 |
| Street Address |
3788 JACKSON COMMUNITY RD |
| City | VERNON |
| State | FL |
| Zip Code | 32462-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134422470 | Northwest Florida Healthcare, Inc. | Family Medicine | 3250 Main St, Vernon, FL 32462 | 2010-12-08 |
| 1528098779 | Life Management Center of Northwest Florida, Inc. | Counselor | 3371 Sasser Road, Vernon, FL 32462 | 2006-07-04 |
| 1437187440 | Helena Cosby-garcia | Counselor | 3134 Moss Hill Rd, Vernon, FL 32462 | 2006-06-29 |
| 1275706087 | Jessica Lynn Mahaffey | Massage Therapist | 2829 Yellow Jacket Dr, Vernon, FL 32462-2011 | 2008-04-12 |
| 1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
| 1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
| 1851819809 | Michelle Joy Daniels | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2017-08-30 |
| 1851545115 | Dawn Rene LLC | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2008-11-12 |
| 1063497972 | Vernon Discount Drug Inc | Pharmacy | 3248 Main St, Vernon, FL 32462-2223 | 2005-12-13 |
| 1912287939 | Northwest Florida Healthcare, Inc. | General Practice | 3250 Main St, Vernon, FL 32462-2223 | 2011-08-22 |
| Find all providers in zip 32462 | ||||
| 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 |
|---|---|---|---|---|
| 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.