SAMANTHA JACKSON (NPI# 1649804360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649804360 |
| Entity Type | Individual |
| Full Name | SAMANTHA JACKSON |
| Practice Address |
920 Waycross Rd Cincinnati OH 45240-3071 |
| Practice Telephone | 5132959697 |
| Mailing Telephone | 5132959697 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408489 | Samantha Jackson | Licensed Vocational Nurse | 6100 Ashbury St Apt 3114, North Richland Hills, TX 76180-2010 | 2018-12-16 |
| 1861960221 | Samantha Rae Jackson | Nurse Practitioner | 320 Sumner Blvd, Collinsville, IL 62234-1929 | 2018-11-05 |
| 1104806967 | Samantha Jackson | Family Medicine | 415 W Forest Ln, Hobart, OK 73651-1645 | 2006-01-18 |
| 1710527387 | Samantha Jackson | Behavior Technician | 21230 Kingsland Blvd Ste 100a, Katy, TX 77450-5899 | 2020-01-13 |
| 1609438225 | Samantha Lachelle Jackson | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2019-07-03 |
| 1245607357 | Samantha Rae Jackson | Counselor | 695 South St, Chardon, OH 44024-1474 | 2015-08-24 |
| 1174906549 | Samantha L Jackson | Counselor | 1470 Civic Ct Ste 110, Concord, CA 94520-5290 | 2015-07-03 |
| 1558615583 | Samantha Jackson | Speech-Language Pathologist | 4609 San Dario Ave Ste 9, Laredo, TX 78041-5773 | 2012-10-29 |
| 1801191754 | Samantha Jackson | Physician Assistant | 1818 Richardson Dr, Reidsville, NC 27320-5451 | 2011-01-24 |
| 1457652489 | Samantha R. Jackson | Licensed Practical Nurse | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2010-11-08 |
| Street Address |
920 WAYCROSS RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45240-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
| 1316559263 | Big H Home Health Care | Home Health | Northland Blvd, Cincinnati, OH 45240 | 2020-08-21 |
| 1437667912 | May Austin | Respite Care | 11444 Farmington Rd, Cincinnati, OH 45240 | 2018-01-18 |
| 1952815490 | Joyce Kerobo | Licensed Practical Nurse | 1014 Holderness Ln, Cincinnati, OH 45240 | 2017-11-20 |
| 1912429416 | Guselyn Beatrice Bobb | In Home Supportive Care | 12052 Deerhorn Drive, Cincinnati, OH 45240 | 2017-07-17 |
| 1164962239 | Amber Haynes | Counselor | 1570 Jonquilmeadow Dr, Cincinnati, OH 45240 | 2017-03-08 |
| 1215477039 | Ayele Ahouefa Lawson | Licensed Practical Nurse | 962 Glasgow Drive, Cincinnati, OH 45240 | 2017-02-27 |
| 1710365937 | Affordable Dentures - Forest Park, Mark A. Meclosky, Dds, Inc. | Dentist | 1173 Smiley Avenue, Cincinnati, OH 45240 | 2015-05-07 |
| 1720476658 | Medical Staffing Network | Nursing Care | 1388 Waycross Rd Apt B, Cincinnati, OH 45240 | 2014-12-30 |
| 1316351877 | Mirabel Owie Obi | Licensed Practical Nurse | 591 Ashburn Rd # A, Cincinnati, OH 45240 | 2014-06-12 |
| Find all providers in zip 45240 | ||||
| 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 |
|---|---|---|---|---|
| 1982205175 | Yiskah R Israel | Home Health Aide | 1701 Flora Ave, Cincinnati, OH 45231-5215 | 2020-11-04 |
| 1760082622 | Samara Monique Parks | Home Health Aide | 6559 Plainfield Rd Apt 1, Cincinnati, OH 45213-1927 | 2020-10-29 |
| 1518567809 | Loretta Ugoji | Home Health Aide | 11109 Hamilton Ave, Cincinnati, OH 45231-1325 | 2020-10-27 |
| 1710586508 | Joan A Robertson | Home Health Aide | 3032 Burning Tree Ln, Cincinnati, OH 45237-1716 | 2020-10-22 |
| 1013516491 | Brian K Sams | Home Health Aide | 714 Danbury Rd, Cincinnati, OH 45240-3104 | 2020-10-18 |
| 1295333128 | Quaid D Arnold Jr. | Home Health Aide | 9996 Shellbark Ln, Cincinnati, OH 45231-2356 | 2020-10-13 |
| 1942808266 | Elizabeth Tanks | Home Health Aide | 2784 Baker Ave, Cincinnati, OH 45211-8157 | 2020-10-09 |
| 1962009621 | Shawntay Difaner Chapman | Home Health Aide | 1018 Jonquil Ln, Cincinnati, OH 45231-4718 | 2020-10-06 |
| 1306443361 | Dorrinna Maria Gamble | Home Health Aide | 2018 Quail Ct Apt 33, Cincinnati, OH 45240-4643 | 2020-10-02 |
| 1881201614 | Cheryl A Bartenberger | Home Health Aide | 7128 Royalgreen Dr, Cincinnati, OH 45244-3623 | 2020-09-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45240 |
Please comment or provide details below to improve the information on SAMANTHA JACKSON.
| 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.