SHONTA RENEA JACKSON (NPI# 1740761394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740761394 |
| Entity Type | Individual |
| Full Name | SHONTA RENEA JACKSON |
| Credential | LPN |
| Practice Address |
1500 Gun and Rod Rd Brenham TX 77833-5811 |
| Practice Telephone | 7132658713 |
| Practice Fax Number | 7136659710 |
| Mailing Telephone | 7132658713 |
| Mailing Fax Number | 7136659710 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 206993 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497296917 | Shonta Jackson | Case Manager/Care Coordinator | 1217 E 33rd St, Tulsa, OK 74105-2017 | 2017-03-16 |
| Street Address |
1500 GUN AND ROD RD |
| City | BRENHAM |
| State | TX |
| Zip Code | 77833-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860372 | Moataz T Abdelrazek | Pharmacist | 203 Us Loop 290 W, Brenham, TX 77833 | 2020-10-30 |
| 1033719869 | Francis Izuchukwu Okegbu | Pharmacist | 203 Us Loop, Hwy 290 E, Brenham, TX 77833 | 2020-10-30 |
| 1619580073 | Doris Forka | Psychologist | 4001 Tx-36, Brenham, TX 77833 | 2020-08-26 |
| 1679969075 | First Bethel Place LLC | Day Training, Developmentally Disabled Services | 406 W. Fifth St Apt16, Brenham, TX 77833 | 2015-04-13 |
| 1457750192 | Smile Keepers Pllc | Dentist | 218 Us Hwy 290 West, Brenham, TX 77833 | 2014-08-19 |
| 1518390954 | Bright Family Dentistry, Pllc | Dentist | 639 Medical Parkway, Brenham, TX 77833 | 2013-08-20 |
| 1255648630 | Janet Ann Kitowski | Dietitian, Registered | 3377 Tamy Lane, Brenham, TX 77833 | 2010-09-08 |
| 1841505047 | Sumeet Sharma | Dentist | 224 Us Hwy 290 W, Brenham, TX 77833 | 2010-08-11 |
| 1669633145 | Aesthetic & Acupuncture Clinic of Texas Pllc | Acupuncturist | 354 Stone Hill Drive, Brenham, TX 77833 | 2008-06-18 |
| 1295954402 | Minnie Lou Burrell | Licensed Practical Nurse | 202 Barbee, Brenham, TX 77833 | 2007-04-25 |
| Find all providers in zip 77833 | ||||
| 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 |
|---|---|---|---|---|
| 1053955708 | Preston Allen | Licensed Vocational Nurse | 2017 Arable Ct, Brenham, TX 77833-3293 | 2019-11-05 |
| 1518447143 | Diane Juarez | Licensed Vocational Nurse | 607 Tison St, Brenham, TX 77833-5363 | 2018-08-14 |
| 1548761927 | Carolyn Sue Hall | Licensed Vocational Nurse | 2600 Jamie Ln, Brenham, TX 77833-1910 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| 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.