CANITRA JACKSON (NPI# 1689203812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689203812 |
Entity Type | Individual |
Full Name | CANITRA JACKSON |
Practice Address |
3508 Far West Blvd Ste 130 Austin TX 78731-3081 |
Practice Telephone | 5128283990 |
Mailing Telephone | 5128283990 |
Enumeration Date | 2020-04-08 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | 350212 | TX | Nursing Service Providers |
Street Address |
3508 FAR WEST BLVD STE 130 |
City | AUSTIN |
State | TX |
Zip Code | 78731-3081 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144707613 | Adrienne Blau | Speech-Language Pathologist | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2018-07-26 |
1891303947 | Chassie Nicole Moore | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-07-15 |
1649893215 | Chijindu Chichi Ndubisi | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-05-18 |
1427670967 | Emily H Spearman | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-05-07 |
1932729605 | Page Marshall | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-22 |
1891324067 | Heather Kay Joslin | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-04-08 |
1285262139 | Lara Nicole Mackintosh | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-03-27 |
1093349128 | Patricia C Rico | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-02-27 |
1487286852 | Gwendolyn Ruth Agbatekwe | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2020-02-04 |
1487292108 | Lisa Ann Garlanger | Registered Nurse | 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 | 2019-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
Find all providers in zip 78731 |
Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
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 |
---|---|---|---|---|
1598393308 | Yahira Aleman | Licensed Vocational Nurse | 10705 Casitas Dr, Austin, TX 78717-3872 | 2020-03-28 |
1245882810 | Shirley Jean Graves | Licensed Vocational Nurse | 401 S Park Dr, Austin, TX 78704-6346 | 2019-07-12 |
1457810558 | Bianca Danielle Brown | Licensed Vocational Nurse | 810 E Slaughter Ln Apt 11204, Austin, TX 78744-2139 | 2019-03-18 |
1174097059 | Amy Lynn Macafee | Licensed Vocational Nurse | 3737 Executive Center Dr Ste 250, Austin, TX 78731-1640 | 2019-01-14 |
1326513664 | Joseph Guptil Connors IIi | Licensed Vocational Nurse | 7409 Cedar Edge Dr, Austin, TX 78744-1705 | 2018-10-12 |
1881179240 | Clara Luz Loza | Licensed Vocational Nurse | 1165 Airport Blvd Fl 2, Austin, TX 78702-3152 | 2018-10-01 |
1922581693 | Beauty Uzoma Achonye | Licensed Vocational Nurse | 11024 Cairnhill Ct, Austin, TX 78754-2162 | 2018-09-10 |
1750862629 | Purity Thande Nash | Licensed Vocational Nurse | 11312 Barns Trl, Austin, TX 78754-6049 | 2018-08-28 |
1801377791 | Claudia Yanira Mireles | Licensed Vocational Nurse | 12041 Dessau Rd Apt 809, Austin, TX 78754-1710 | 2018-08-28 |
1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
Find all providers in AUSTIN |
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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.