SHANNON DANEIGH JACKSON


Address: 4660 Martin Luther King Jr Ave Sw Apt B406, Washington, DC 20032-4978
Phone: (202) 867-9354

SHANNON DANEIGH JACKSON (NPI# 1588182463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588182463
Entity Type Individual
Full Name SHANNON DANEIGH JACKSON
Practice Address 4660 Martin Luther King Jr Ave Sw Apt B406
Washington
DC 20032-4978
Practice Telephone (202) 867-9354
Mailing Telephone 2028679354
Enumeration Date 2017-08-31
Last Update Date 2017-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers SHANNON JACKSON

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1235761149 Shannon M Jackson In Home Supportive Care 4028 Vira Rd, Stow, OH 44224-3637 2020-02-08
1124526280 Shannon Jackson Nurse Practitioner 850 Independence Ave, Akron, OH 44310-2541 2018-01-24
1851842843 Shannon Regina Jackson Nurse Practitioner 294 Cypress Lakes Dr., Slidell, LA 70458 2016-10-14
1598027393 Shannon Jackson Behavioral Analyst 2325 Nw 115th St, Oklahoma City, OK 73120-7309 2012-06-08
1417281064 Shannon Jackson Psychologist 150 North Main St, Echn Health Services, Manchester, CT 06040-4188 2009-09-30
1235766601 Shannon Laura Jackson Registered Nurse 2301 Erwin Rd, Durham, NC 27705-4699 2020-03-25
1407411366 Shannon Jackson Physical Therapy Assistant 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 2019-05-07
1558742395 Shannon Marie Jackson Counselor 4990 Williams Ave, La Mesa, CA 91942-7409 2015-06-17
1811323645 Shannon Denise Jackson Nurse Practitioner 2800 Dallas Pkwy, Suite 150, Plano, TX 75093-5993 2013-09-25
1033429832 Shannon Byrd Jackson Dietitian, Registered 1705 Tarboro St Sw, Wilson, NC 27893-3428 2010-10-14

Office Location

Street Address 4660 MARTIN LUTHER KING JR AVE SW APT B406
City WASHINGTON
State DC
Zip Code 20032-4978

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1639788938 Richard Quinones Technician 4346 Livingston Rd Se, B, Washington, DC 20032 2020-07-23
1720603244 Ankur Sah Swarnakar Student in an Organized Health Care Education/Training Program 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 2020-06-10
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1144878240 Erika Kirkpatrick Behavior Technician 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 2019-08-31
1982251351 Agazit Asihel Counselor Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 2019-08-21
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
1376100115 Kelsey Hobart Student in an Organized Health Care Education/Training Program Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 2019-05-28
1407321417 Abigail Christine Burke Physical Therapist 3146 Arnold Avenue Sw, Washington, DC 20032 2018-10-05
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205437993 Rhonda Allman Technician 3118 Harris Hwy, Washington, WV 26181-8709 2020-11-08
1841891538 Deidra Montgomery Technician 1402 Lake Washington Rd, Washington, WV 26181-8222 2020-11-08
1033710793 Mykeena Naylor Technician 7 U St Nw, Washington, DC 20001-1010 2020-11-07
1942801683 Jacquise C Martin Technician 2801 14th St Nw Apt 303, Washington, DC 20009-4946 2020-11-07
1497356133 Deonta Marcell Saleem Technician 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 2020-11-07
1447851548 Caroline Nadine Hudgens Technician 2412 Wagner St Se, Washington, DC 20020-3416 2020-11-04
1255932380 Donald Anthony Harris Technician 1924 Savannah St Se, Washington, DC 20020-7535 2020-11-04
1528669819 Lyndell Neal Simms Technician 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 2020-11-04
1912508136 Gary Gathers Technician 1720 Savannah St Se Apt 102, Washington, DC 20020-7585 2020-11-04
1629679162 Andrew Holt Jr. Technician 1317 5th St Nw Apt 302, Washington, DC 20001-4871 2020-11-02
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Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

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.

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