MS. SANDRA DENISE JACKSON (NPI# 1619118288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619118288 |
| Entity Type | Individual |
| Full Name | MS. SANDRA DENISE JACKSON |
| Practice Address |
4303 Herridge St Houston TX 77022-3944 |
| Practice Telephone | 2819044081 |
| Mailing Telephone | 2819044081 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7615987412143 | TX | Suppliers |
| Y | 374U00000X | Home Health Aide | 7615987412143 | TX | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408792 | Sandra Rae Jackson | Occupational Therapy Assistant | 6308 Parkwood Pl, Amarillo, TX 79119-5003 | 2019-03-27 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1710230917 | Sandra Evans Jackson | Counselor | 1035 Director Ct, Suite C, Greenville, NC 27858-5996 | 2012-10-25 |
| 1407170665 | Sandra Marie Jackson | Marriage & Family Therapist | 6809 Indiana Ave Ste B8, Riverside, CA 92506 | 2010-03-17 |
| 1740425735 | Sandra Renee Jackson | Physical Therapist | 4476 Winding Creek Rd, Manlius, NY 13104-2482 | 2008-12-05 |
| 1255535860 | Sandra Denise Jackson | Licensed Vocational Nurse | 708 Bond St, Copperas Cove, TX 76522-3079 | 2007-06-14 |
| 1316089840 | Sandra Gordon Jackson | Social Worker | 2121 Sage Rd Ste 180, Houston, TX 77056-4326 | 2007-02-12 |
| 1326195959 | Sandra Jackson | Social Worker | 2750 N Lakeview Dr, Warsaw, IN 46582-8408 | 2007-01-04 |
| 1366459778 | Sandra G. Jackson | Counselor | 1900 E. Tenth Street, Alamogordo, NM 88310 | 2006-08-01 |
| 1396717286 | Sandra F Jackson | Nurse Practitioner | 23 W 37th St, Wilmington, DE 19802-2225 | 2006-02-03 |
| Street Address |
4303 HERRIDGE ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418373 | Magnolia 1 House | Nursing Care | 505 E 38th St, Houston, TX 77022 | 2020-02-11 |
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| 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 |
|---|---|---|---|---|
| 1295333086 | Laquanda Cohen | Home Health Aide | 12655 Kuykendahl Rd Apt 5205, Houston, TX 77090-6937 | 2020-10-13 |
| 1023615218 | Temitope Idowu | Home Health Aide | 4411 Garden Ridge Ct, Houston, TX 77084-7393 | 2020-10-01 |
| 1578175816 | Melissa Ann Zepeda | Home Health Aide | 4610 Allison Rd Trlr 312, Houston, TX 77048-4651 | 2020-08-18 |
| 1215550884 | Melissa Mesa | Home Health Aide | 7238 Fauna St, Houston, TX 77061-3903 | 2020-05-18 |
| 1356977698 | Anja Alam | Home Health Aide | 1359 Hugh Rd, Houston, TX 77067-1503 | 2020-03-18 |
| 1124668678 | Tiffany Scott | Home Health Aide | 440 Benmar Dr Ste 1395, Houston, TX 77060-3172 | 2020-01-13 |
| 1902445356 | Quintina Etasha Anderson | Home Health Aide | 14222 Wunderlich Dr Apt 904, Houston, TX 77069-3443 | 2020-01-02 |
| 1760027783 | Omobola Patricia Olorunsiwa | Home Health Aide | 6403 Sierra Blanca Dr Apt 502, Houston, TX 77083-1530 | 2019-11-13 |
| 1942850904 | Keyaira Christian Siler | Home Health Aide | 13100 Stonefield Dr Apt 608, Houston, TX 77014-3302 | 2019-09-12 |
| 1497301212 | Above Abilities Healthcare (aah) LLC | Home Health Aide | 3802 Westheimer Place Dr, Houston, TX 77082-1225 | 2019-08-16 |
| Find all providers in HOUSTON | ||||
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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.