MRS. TRACEY MONIQUE JACKSON (NPI# 1609063882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609063882 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY MONIQUE JACKSON |
| Credential | RN |
| Practice Address |
23 Flanders St Rochester NY 14619-1705 |
| Practice Telephone | 5855097183 |
| Mailing Telephone | 5855097183 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 519072-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01959764 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134571730 | Tracey Francine Jackson | Technician, Other | 22764 Normandy Ave, Eastpointe, MI 48021-1854 | 2016-07-07 |
| 1639532765 | Tracey Jackson | Social Worker | 5937 Larchwood Ave, Philadelphia, PA 19143-1115 | 2016-04-05 |
| 1174948038 | Tracey Jackson | Occupational Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
| 1255755930 | Tracey Jackson | Case Manager/Care Coordinator | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2014-02-14 |
| 1861643389 | Tracey Ann Jackson | Counselor | 1547 Parkway Ste 100, Greenwood, SC 29646-4081 | 2008-10-02 |
| 1487803870 | Tracey D Jackson | Pharmacist | 1000 Locust St, Reno, NV 89502-2597 | 2008-09-10 |
| 1902074545 | Tracey Jackson | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-02-18 |
| 1215121835 | Tracey Jackson | Physician Assistant | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-08-28 |
| 1558486803 | Tracey L Jackson | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820 | 2007-03-19 |
| 1902808868 | Tracey L Jackson | Nurse Anesthetist, Certified Registered | 615 S New Ballas Rd, Sjmmc Dept of Anes, Saint Louis, MO 63141-8221 | 2005-08-11 |
| Street Address |
23 FLANDERS ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14619-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910430 | Cotton Blue Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 Genesee Park Blvd, Rochester, NY 14619 | 2019-09-04 |
| 1700342714 | Shalom Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 84 Penhurst St, Rochester, NY 14619 | 2019-02-14 |
| 1639656689 | Dl Nursing Services | Licensed Practical Nurse | 116 Kingsboro Rd, Rochester, NY 14619 | 2018-07-23 |
| 1790206720 | Albert Tomlin Jr. | Driver | 121 Aberdeen St, Rochester, NY 14619 | 2017-06-29 |
| 1760915995 | Irie Transportation Associated | Taxi | 8-b Bradburn St, Rochester, NY 14619 | 2017-04-05 |
| 1902265366 | Trifena Browning | Licensed Practical Nurse | 167 Normandy Ave, Rochester, NY 14619 | 2016-02-15 |
| 1144663154 | Lehana Doctor | Social Worker | 107 Norris Drive, Suite D, Rochester, NY 14619 | 2013-04-09 |
| 1003190745 | Tanis Sharon Bridges | Registered Nurse | 261 Elmdorf Avenue, Rochester, NY 14619 | 2011-09-29 |
| 1386965853 | Pelecia Bordeaux | Licensed Practical Nurse | 340 Thurston Rd, Rochester, NY 14619 | 2010-06-18 |
| 1083933477 | Antoniece Keyonia-renee Poole | Licensed Practical Nurse | 77 Ringle St., Rochester, NY 14619 | 2010-05-25 |
| Find all providers in zip 14619 | ||||
| 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 |
|---|---|---|---|---|
| 1649870825 | Eyita Gaga | Registered Nurse | 848 2nd St Nw, Rochester, MN 55901-2773 | 2020-10-28 |
| 1225637770 | Michelle Suesann Arancio | Registered Nurse | 38 Box Turtle Dr, Rochester, MA 02770-2152 | 2020-10-25 |
| 1457950990 | Brittany Ann Tehan | Registered Nurse | 338 Mercer Ave, Rochester, NY 14606-4126 | 2020-10-24 |
| 1194324889 | Nichole Marie Tuggles | Registered Nurse | 37 Drexel Dr, Rochester, NY 14606-5305 | 2020-10-22 |
| 1417563917 | Sheena Bozman | Registered Nurse | 13 Sunpath Way, Rochester, NY 14624-2495 | 2020-09-20 |
| 1518572908 | Shannon Walsten | Registered Nurse | 216 Emory Ln Se, Rochester, MN 55904-8479 | 2020-09-11 |
| 1164032181 | Ashley Florence Cortese | Registered Nurse | 20a Northgate Mnr, Rochester, NY 14616-2637 | 2020-08-04 |
| 1699399105 | Cynquinthia Copes | Registered Nurse | 242 Milford St Apt 8, Rochester, NY 14615-1833 | 2020-06-01 |
| 1326662065 | Vanessa Fisher | Registered Nurse | 4545 Arctic Fox Rd Nw, Rochester, MN 55901-3914 | 2020-05-28 |
| 1417570391 | Elizabeth Mauser | Registered Nurse | 4947 Castleview Dr Nw, Rochester, MN 55901-2279 | 2020-05-26 |
| Find all providers in ROCHESTER | ||||
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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.