LATICIA JACKSON (NPI# 1619325362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619325362 |
| Entity Type | Individual |
| Full Name | LATICIA JACKSON |
| Credential | MPH |
| Practice Address |
4400 Bayou Blvd Suite 47b3 Pensacola FL 32503-2673 |
| Mailing Address |
4400 Bayou Blvd Suite 47 B3 Pensacola FL 32503-2673 |
| Practice Telephone | 8506968069 |
| Mailing Telephone | 8506968069 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
4400 BAYOU BLVD SUITE 47B3 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328417 | Editha Bielitz | Obstetrics & Gynecology | 4400 Bayou Blvd, Ste 52a, Pensacola, FL 32503 | 2005-07-01 |
| 1598169757 | Susan Anne Danahy, Ph.d. | Psychologist | 4400 Bayou Blvd, Building #51, Pensacola, FL 32503-2673 | 2014-10-17 |
| 1659775823 | Steve Hirschorn, Ph.d. | Marriage & Family Therapist | 4400 Bayou Blvd, Building #51, Pensacola, FL 32503-2673 | 2014-10-17 |
| 1730503905 | Rule One LLC | Clinic/Center | 4400 Bayou Blvd, Suite 36, Pensacola, FL 32503-2673 | 2014-02-09 |
| 1083053771 | Concura Inc. | Home Health | 4400 Bayou Blvd, Suite 39b, Pensacola, FL 32503-1911 | 2013-06-17 |
| 1487993531 | Susan Gessler | Counselor | 4400 Bayou Blvd, Suite 38, Pensacola, FL 32503-2673 | 2013-02-10 |
| 1417294695 | Benjamin J Hodges & Associates Pa | Dentist | 4400 Bayou Blvd, Ste 3a, Pensacola, FL 32503-2673 | 2013-01-09 |
| 1689921157 | Carmella Louise Miller | Social Worker | 4400 Bayou Blvd, Unit 38, Pensacola, FL 32503-2673 | 2012-08-14 |
| 1932466653 | Linda Jane Fricke | Nurse Practitioner | 4400 Bayou Blvd, Suite 36, Pensacola, FL 32503 | 2012-04-19 |
| 1902037013 | Emerald Coast Assessment and Counseling Center, LLC | Psychologist | 4400 Bayou Blvd, Suite 38, Pensacola, FL 32503-2673 | 2009-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1063863967 | Transformation Health LLC | Health Educator | 4400 Bayou Blvd Ste 47-b3, Pensacola, FL 32503-2673 | 2016-06-22 |
| 1184166993 | Stephanie Chauvel | Health Educator | 5150 Bayou Blvd Ste 1n, Pensacola, FL 32503-2159 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142901 | International Health Awareness Center Inc | Health Educator | 1921 Grove Ave, Fort Myers, FL 33901-7924 | 2020-10-24 |
| 1235744673 | Stephanie Ann Pearson | Health Educator | 510 Se Dixie Hwy, Stuart, FL 34994-3045 | 2020-09-12 |
| 1922618842 | Christina Nicole Lewis | Health Educator | 3737 Saint Johns Bluff Rd S Apt 1514, Jacksonville, FL 32224-2608 | 2020-08-05 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1508492224 | Kimberly Poitier | Health Educator | 3005 E Elm St, Tampa, FL 33610-1534 | 2020-03-13 |
| 1124667928 | Nichola Nerina Orr | Health Educator | 2085 S Congress Ave, Palm Springs, FL 33406-7601 | 2019-12-27 |
| 1972148153 | Simone Hewitt | Health Educator | 3603 Inverrary Blvd W, Lauderhill, FL 33319-4947 | 2019-11-12 |
| 1881235596 | Julie Castaneda | Health Educator | 3401 Mission Bay Blvd Apt 299, Orlando, FL 32817-5115 | 2019-10-03 |
| 1598316705 | Sigrid Cartier | Health Educator | 2201 Beach Dr Se, Saint Petersburg, FL 33705-2841 | 2019-09-28 |
| 1275183303 | Brandi Lupton | Health Educator | 10910 Victoria Arbor Way, Temple Terrace, FL 33617-3126 | 2019-09-20 |
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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.