MS. SHAVOKA L JACKSON (NPI# 1568004398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568004398 |
| Entity Type | Individual |
| Full Name | MS. SHAVOKA L JACKSON |
| Practice Address |
20375 Secretariat Gulfport MS 39503-4596 |
| Practice Telephone | 6015665265 |
| Mailing Telephone | 6015665265 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | MS | Nursing Service Related Providers |
| Street Address |
20375 SECRETARIAT |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| 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 |
|---|---|---|---|---|
| 1023635356 | Royalty Home Care Health Care Business | Home Health Aide | 1073 Acadian Dr Ste B, Gulfport, MS 39507-3538 | 2020-07-02 |
| 1366904518 | Amesha Barnes | Home Health Aide | 1232 Camp Ave, Gulfport, MS 39501-2440 | 2019-04-04 |
| 1194231399 | Dortha Mae Rideout | Home Health Aide | 2649 Palmer Dr, Gulfport, MS 39507-2846 | 2017-12-26 |
| 1972884211 | Betty Fields | Home Health Aide | 1529 43rd Ave Apt 103, Gulfport, MS 39501-3701 | 2011-08-31 |
| 1639310899 | Valford White | Home Health Aide | 4930 10th Ave S, Gulfport, FL 33707-2625 | 2009-03-18 |
| 1255635074 | Helping Hands LLC (respite Care) | Home Health Aide | 12266 Ashley Dr, Gulfport, MS 39503-2759 | 2011-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230229 | Tammy Louise Lavigne | Home Health Aide | 166 Woodland Way, Jackson, MS 39209-3566 | 2020-09-22 |
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1013521707 | Ashley M Hyche | Home Health Aide | 115 Thornhill Dr Ste A, Hattiesburg, MS 39402-1559 | 2020-09-01 |
| 1881203420 | Robyn Winn | Home Health Aide | 119 E Semmes St, Canton, MS 39046-4527 | 2020-07-29 |
| 1376152512 | Jackson Ms Homecare | Home Health Aide | 2625 Ridgewood Rd Ste 104, Jackson, MS 39216-4900 | 2020-07-23 |
| 1275141186 | Precious Holmes | Home Health Aide | 1321 Sunset Dr Ste A, Grenada, MS 38901-4005 | 2020-07-16 |
| 1770100109 | Shanterika Tate | Home Health Aide | 5407 Martin Luther King Blvd, Moss Point, MS 39563-4543 | 2020-07-01 |
| 1831714260 | Jakayla Palmer | Home Health Aide | 101 Sunset Dr, Clinton, MS 39056-5211 | 2020-06-11 |
| 1679196265 | Samantha Catchings | Home Health Aide | 901 N Bennett St, Crystal Springs, MS 39059-2501 | 2020-05-18 |
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 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.