LATRINA COLLEEN JACKSON (NPI# 1669987236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669987236 |
| Entity Type | Individual |
| Full Name | LATRINA COLLEEN JACKSON |
| Credential | RN |
| Practice Address |
4922 Windy Hill Dr Ste A Raleigh NC 27609-5196 |
| Practice Telephone | 9842009993 |
| Practice Fax Number | 8447474505 |
| Mailing Telephone | 9842009993 |
| Mailing Fax Number | 8447474505 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
210120 | NC | Nursing Service Providers |
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
210120 | NC | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
210120 | NC | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
210120 | NC | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4922 Windy Hill Dr Ste A, Raleigh, NC 276095196 | 9842009993 | 8447474505 |
| Street Address |
4922 WINDY HILL DR STE A |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-5196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700813870 | Jeffrey C Pearce | Counselor | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 | 2006-06-26 |
| 1376027565 | A Will To Thrive Counseling Services, Pllc | Social Worker | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 | 2018-09-24 |
| 1578960985 | Alpha and Omega Family Counseling & Restoration Services, Inc | Counselor | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 | 2014-12-01 |
| 1609139666 | My Sister's Keeper of The Triangle, Inc. | Case Management | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 | 2012-06-24 |
| 1487939195 | Barbra J Rogoff | Social Worker | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609 | 2011-10-13 |
| 1053606848 | Leslie Camille Braxton | Counselor | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 | 2011-06-09 |
| 1861636870 | Tamekia Denise Powell | Counselor | 4922 Windy Hill Dr Ste A, Raleigh, NC 27609-5196 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
| 1255760716 | Lewis Moore Jr. | Registered Nurse | 8101 Green Lantern St Apt 302, Raleigh, NC 27613-4560 | 2013-11-05 |
| 1235362450 | Danyelle Leigh Williams | Registered Nurse | 2022 Kedvale Ave, Raleigh, NC 27617-4285 | 2009-09-04 |
| 1215167614 | Hester Velma Drummond | Registered Nurse | 3739 Junction Blvd, Raleigh, NC 27603-5263 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513997 | Yneka Travon Rhodes | Registered Nurse | 3280 Charles Blvd, Greenville, NC 27858-8875 | 2020-06-24 |
| 1770105108 | Faraja F Barbour | Registered Nurse | 1633 Country Club Rd, Rocky Mount, NC 27804-6316 | 2020-05-07 |
| 1609420629 | Kera Tahmara Diggs Brown | Registered Nurse | 4724 Grasset Ave, Charlotte, NC 28269-4025 | 2019-07-29 |
| 1225691983 | Janice Cooper Bell | Registered Nurse | 94 Bended Knee Dr, Whittier, NC 28789-7114 | 2019-04-18 |
| 1780145714 | Katetia H Bennett | Registered Nurse | 3500 Vest Mill Rd Ste 33, Winston Salem, NC 27103-2978 | 2019-03-31 |
| 1306305248 | Lisa Danielle Mack | Registered Nurse | 1014 Harvest Grove Ct, Hope Mills, NC 28348-9272 | 2019-03-19 |
| 1700358330 | Linda M Alexander | Registered Nurse | 4614 Wilgrove Mint Hill Rd Ste C1, Mint Hill, NC 28227-3547 | 2018-12-20 |
| 1285104729 | Mothers Helper Home Health Solutions Inc | Registered Nurse | 518 Beaumont Rd Ste 102, Fayetteville, NC 28304-4447 | 2018-11-27 |
| 1588153696 | Lucy Jepchumba Kenei | Registered Nurse | 1925 Buffalo Way, Durham, NC 27704-4770 | 2018-05-03 |
| 1235662867 | Kathy Cutler | Registered Nurse | 3517 Sudbury Rd, Charlotte, NC 28205-4331 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
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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.