MISS DOROTHY MAE JACKSON (NPI# 1487950846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487950846 |
| Entity Type | Individual |
| Full Name | MISS DOROTHY MAE JACKSON |
| Practice Address |
310 Sw 99th St Gainesville FL 32607-1372 |
| Practice Telephone | 3523321155 |
| Practice Fax Number | 3523316391 |
| Mailing Telephone | 3523321155 |
| Mailing Fax Number | 3523316391 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 26-0167133 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID WAIVER | 681414096 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407364169 | Dorothy Jean Jackson | Clinic/Center | 5151 Margo Dr, Las Vegas, NV 89122-6627 | 2018-01-16 |
| 1780094664 | Dorothy Jackson | Registered Nurse | 9689 Lynns Rd, Etna, OH 43062-8493 | 2014-05-01 |
| 1922071042 | Dorothy Louise Jackson | Family Medicine | 1114 W Bow St, Tyler, TX 75702-5137 | 2006-02-09 |
| 1174189773 | Dorothy Jackson | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-05-20 |
| 1629478417 | Dorothy Jackson | Counselor | 801 Douglas Ave, Altamonte Springs, FL 32714-5206 | 2014-08-28 |
| 1427392505 | Dorothy Octavia Jackson | Psychologist | 2002 Holcombe Blvd, Mhcl 116, Houston, TX 77030-4211 | 2012-11-15 |
| 1760789382 | Dorothy Elizabeth Jackson | Case Manager/Care Coordinator | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2011-02-16 |
| 1942521539 | Dorothy W Jackson | Social Worker | 1076 Main St, Suite 203, Fishkill, NY 12524-3606 | 2010-06-17 |
| 1568612851 | Dorothy Faye Jackson | Nurse Practitioner | 208 Nw 2nd St, Andrews, TX 79714-6308 | 2008-09-24 |
| 1467661306 | Dorothy Lyn Jackson | Student in an Organized Health Care Education/Training Program | 1646 Elmira St, Aurora, CO 80010-2122 | 2007-05-21 |
| Street Address |
310 SW 99TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919569 | Geneva Driver | Community Health Worker | 3031 Ne 14th St, Gainesville, FL 32609-3122 | 2018-04-20 |
| 1801040456 | Johna Burgess | Community Health Worker | 4151 Nw 43rd St, #554, Gainesville, FL 32606-4582 | 2008-11-10 |
| 1548425945 | Carrie Mae Littles | Community Health Worker | 2901 Ne 17th Ter, Gainesville, FL 32609-3249 | 2008-07-24 |
| 1447506233 | Kelley Johnson | Community Health Worker | 1856 Thompson Bridge Rd, Gainesville, GA 30501-1663 | 2012-07-30 |
| 1023327061 | Leann Marie Averell | Community Health Worker | 6421 Sw 13th St, Gainesville, FL 32608-5419 | 2010-09-24 |
| 1083885503 | Sheryl Ann Miller | Community Health Worker | 1290 Athens St, Gainesville, GA 30507-7000 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606813 | Assyrian Lane Thomas | Community Health Worker | 3415 30th Ln E, Bradenton, FL 34208-7248 | 2020-10-13 |
| 1922614692 | Michole Kiana Nelson | Community Health Worker | 2041 Payne Ave, Jacksonville, FL 32209-5636 | 2020-09-18 |
| 1558976639 | Brenda K Stephens | Community Health Worker | 144 Carver Ave, Havana, FL 32333-6318 | 2020-09-15 |
| 1619580669 | Lifeline Community Support, LLC | Community Health Worker | 927 Nw 97th Ave Apt 207, Miami, FL 33172-2380 | 2020-08-28 |
| 1669083192 | Basca Inc | Community Health Worker | 352 Stowe Ave, Orange Park, FL 32073-5547 | 2020-08-10 |
| 1982228250 | Gabrielle Benoit | Community Health Worker | 510 Beverly Blvd, Brandon, FL 33511-5510 | 2020-06-03 |
| 1316576192 | Angoria Consulting Management | Community Health Worker | 1382 Sequoia Rd Nw, Palm Bay, FL 32907-2780 | 2020-04-03 |
| 1174158349 | Arcliffe Elaine Stephenson | Community Health Worker | 5336 Jubilee Way, Margate, FL 33063-8205 | 2020-03-09 |
| 1639711096 | Margarette Jean Laurent | Community Health Worker | 261 Sw Fairchild Ave, Port St Lucie, FL 34984-4908 | 2019-10-16 |
| 1609337260 | Patricia Ann Brown | Community Health Worker | 797 Teague Trl Apt 8205, Lady Lake, FL 32159-3117 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
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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.