KIAMESHA JACKSON (NPI# 1568995652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568995652 |
| Entity Type | Individual |
| Full Name | KIAMESHA JACKSON |
| Practice Address |
4040 Memorial Pkwy Sw Huntsville AL 35802-4364 |
| Practice Telephone | 2565331970 |
| Practice Fax Number | 2567056477 |
| Mailing Telephone | 2565331970 |
| Mailing Fax Number | 2567056477 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1-153491 | AL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 330000014 | 05 |
| Street Address |
4040 MEMORIAL PKWY SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291123 | Douglas W Adams | Psychiatry & Neurology | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2005-11-07 |
| 1710502687 | Joellen Yamamori | Licensed Practical Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-06-16 |
| 1780204354 | Kristi Allen | Registered Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-23 |
| 1861012452 | Jacqueline Bell | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-23 |
| 1851911606 | William J Holmes | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1841810611 | Ryan M Hill | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1508486275 | Joseph Reed | Licensed Practical Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1982224739 | Emma Gabriella Young | Registered Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1770103541 | Kaasha Campbell | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| 1184244923 | Phyllis Brown | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1508483454 | Davonia Taylor | Registered Nurse | 1505 Sparkman Dr Nw Apt 104, Huntsville, AL 35816-2642 | 2020-06-26 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1720617277 | Lauren Alexandria Zito | Registered Nurse | 121 River Downs Dr, Huntsville, AL 35811-8898 | 2020-04-06 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1114492790 | Jemimah Njeri Ndungu | Registered Nurse | 2830 Lake Rd Apt 707, Huntsville, TX 77340-5656 | 2018-10-10 |
| 1336649037 | Marjorie Archie | Registered Nurse | 2203 Dale Ln, Huntsville, TX 77320-9400 | 2018-02-19 |
| 1588173611 | Melissa Anne Carter | Registered Nurse | 4820 University Sq, Huntsville, AL 35816 | 2017-09-20 |
| 1538617352 | Tiffany Lawrence Johnson | Registered Nurse | 500 Governor's Dr Sw, Huntsville, AL 35801 | 2016-09-21 |
| 1386900728 | Sam Richard Petersen | Registered Nurse | 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801-5177 | 2012-04-10 |
| 1740428531 | Brenda Renee Gerber | Registered Nurse | 2356 County Road 57 W, Huntsville, OH 43324-9731 | 2009-02-02 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
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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.