HOLLY ALEGRO JACKSON (NPI# 1689156721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689156721 |
Entity Type | Individual |
Full Name | HOLLY ALEGRO JACKSON |
Practice Address |
10550 Murat Dr Saint Louis MO 63136-4524 |
Practice Telephone | 3143586051 |
Practice Fax Number | 3148693373 |
Mailing Telephone | 3143586051 |
Mailing Fax Number | 3148693373 |
Enumeration Date | 2018-09-05 |
Last Update Date | 2018-09-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | MO | Transportation Services |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
1013212711 | Holly Jackson | Social Worker | 511 W 86th Ter, Kansas City, MO 64114-2822 | 2011-01-11 |
1083882278 | Holly Jackson | Licensed Practical Nurse | 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 | 2008-02-11 |
1548753700 | Holly Jean Jackson | Behavior Technician | 19800 Village Office Ct, Bend, OR 97702-1872 | 2018-06-12 |
1922596220 | Holly Suzanne Jackson | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2018-04-23 |
1720575392 | Holly Jackson | Nurse Anesthetist, Certified Registered | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-04-18 |
1427576511 | Holly M Jackson | Nurse Practitioner | 905 Dixie St, Carrollton, GA 30117-4417 | 2017-09-08 |
1427597301 | Holly Jackson | Registered Nurse | 1109 Jones St, Kennett, MO 63857-3824 | 2017-02-13 |
1023551223 | Holly V Jackson | Advanced Practice Midwife | 1900 S Tuttle Ave, Sarasota, FL 34239-3114 | 2016-11-21 |
Street Address |
10550 MURAT DR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63136-4524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
Find all providers in zip 63136 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659981165 | Chanita Walker | Non-emergency Medical Transport (VAN) | 7404 Balfour Dr, Saint Louis, MO 63133-1208 | 2020-08-10 |
1578188868 | Tammie Fields | Non-emergency Medical Transport (VAN) | 1111 Renshaw Dr, Saint Louis, MO 63135-2832 | 2020-06-11 |
1255965745 | Rise Nonmedical Transportation LLC | Non-emergency Medical Transport (VAN) | 10429 Tanner Dr, Saint Louis, MO 63136-2323 | 2020-02-24 |
1073153763 | Daryl West | Non-emergency Medical Transport (VAN) | 1926 Cathedral Hill Dr, Saint Louis, MO 63138-1520 | 2020-01-09 |
1962048876 | Glynnis P Baker | Non-emergency Medical Transport (VAN) | 3902 Lindell Blvd Apt 2w, Saint Louis, MO 63108-3247 | 2019-11-26 |
1932760329 | Platinum Fox Nonemergency Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 4940 Thrush Ave, Saint Louis, MO 63120-2224 | 2019-06-26 |
1134783111 | Express Medical Transporters, Inc | Non-emergency Medical Transport (VAN) | 6780 Southwest Ave, Saint Louis, MO 63143-2624 | 2019-04-25 |
1346714136 | A Super Taxi | Non-emergency Medical Transport (VAN) | 2929 S Jefferson Ave, Saint Louis, MO 63118-1545 | 2019-01-15 |
1558837526 | Smart Cab LLC | Non-emergency Medical Transport (VAN) | 7584 Olive Blvd Ste 206, Saint Louis, MO 63130-1600 | 2018-10-17 |
1427530948 | Safco LLC | Non-emergency Medical Transport (VAN) | 4517 Ferrer Dr, Saint Louis, MO 63129-3740 | 2018-08-31 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63136 |
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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.