MANERVIA LEE (NPI# 1437509312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437509312 |
Entity Type | Individual |
Full Name | MANERVIA LEE |
Practice Address |
1058 Ridgewood Pl Ste G Jackson MS 39211-2002 |
Practice Telephone | 6018099222 |
Mailing Telephone | 6018099222 |
Enumeration Date | 2016-06-21 |
Last Update Date | 2017-01-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA2000X |
Registered Nurse Specialization: Administrator |
865836 | MS | Nursing Service Providers |
N | 163WC0400X |
Registered Nurse Specialization: Case Management |
865836 | MS | Nursing Service Providers |
N | 163WH0200X |
Registered Nurse Specialization: Home Health |
865836 | MS | Nursing Service Providers |
Y | 164W00000X | Licensed Practical Nurse | 326285 | MS | Nursing Service Providers |
N | 174400000X | Specialist | Other Service Providers | ||
N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
N | 374U00000X | Home Health Aide | 36693 | MS | Nursing Service Related Providers |
N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
N | 376K00000X | Nurse's Aide | 36693 | MS | Nursing Service Related Providers |
N | 172V00000X | Community Health Worker | Other Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
N | 174H00000X | Health Educator | Other Service Providers |
Street Address |
1058 RIDGEWOOD PL STE G |
City | JACKSON |
State | MS |
Zip Code | 39211-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
Find all providers in zip 39211 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical 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. 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 |
---|---|---|---|---|
1386272375 | Meagan Mary Deane | Licensed Practical Nurse | 1311 Winston Dr, Jackson, MI 49203-5026 | 2020-03-27 |
1952953390 | Kristin Marie Mees | Licensed Practical Nurse | 702 W Ganson St, Jackson, MI 49201-1047 | 2019-07-16 |
1477011336 | Roberta Lee Bentley | Licensed Practical Nurse | 5120 Leora Ln, Jackson, MI 49201-8912 | 2019-03-08 |
1033608385 | Suzann Swetland | Licensed Practical Nurse | 510 Gregory Pl, Jackson, MI 49202-2608 | 2018-05-02 |
1285122309 | Angela Holt | Licensed Practical Nurse | 913 Seymour Ave, Jackson, MI 49202-2543 | 2018-04-24 |
1093211377 | Sheldon Ewers | Licensed Practical Nurse | 5052 Marble St, Jackson, MI 49201-8146 | 2018-04-04 |
1508377383 | Coleman Care Givers LLC | Licensed Practical Nurse | 706 Hillmont Dr, Jackson, MS 39209-6003 | 2017-10-19 |
1609326263 | Regina Mcdaniel | Licensed Practical Nurse | 502 Mccarty Ln, Unit 5, Jackson, OH 45640-7020 | 2016-10-07 |
1023564366 | Rebecca Ashenfelter | Licensed Practical Nurse | 4715 Fox Valley Dr., 1a, Jackson, MI 49204 | 2016-08-28 |
1144673146 | Merrie Loar | Licensed Practical Nurse | 1410 Sherman Wood Dr, Jackson, MI 49201-8129 | 2016-07-14 |
Find all providers in JACKSON |
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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.