SHANEQUA JACKSON (NPI# 1740807494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740807494 |
| Entity Type | Individual |
| Full Name | SHANEQUA JACKSON |
| Practice Address |
1204 Hemlock Dr Augusta GA 30909-2754 |
| Practice Telephone | 7062280321 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| 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 |
| Street Address |
1204 HEMLOCK DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| 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 |
|---|---|---|---|---|
| 1710519251 | Niyetroshia H Anderson | Home Health Aide | 601 Broad St Ste 5a, Augusta, GA 30901-1467 | 2020-02-11 |
| 1184028102 | Melissa Blackwell | Home Health Aide | 1541 Heath St, Augusta, GA 30904-5205 | 2014-10-20 |
| 1477042547 | Steve Peter Hymel | Home Health Aide | 3540 Wheeler Rd Ste 201, Augusta, GA 30909-1878 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1417557661 | Turkessa Moody | Home Health Aide | 103 Tappan Zee Dr, Pooler, GA 31322-9440 | 2020-10-27 |
| 1447850706 | Ondra L Little | Home Health Aide | 101 Saint George Blvd Apt 6t, Savannah, GA 31419-9348 | 2020-10-27 |
| 1063019834 | Latoya Marie Jones | Home Health Aide | 8185 Englewood Trl, Riverdale, GA 30274-4246 | 2020-10-05 |
| 1295342467 | Zinobia S Clark | Home Health Aide | 7412 Johnny Mercer Blvd # 1, Savannah, GA 31410-2434 | 2020-09-30 |
| 1407463383 | Aurora Uwase | Home Health Aide | 6437 Wood Cir W, Morrow, GA 30260-1732 | 2020-09-25 |
| 1750998506 | Shynalee Natividad Ayala | Home Health Aide | 410 Wesley Club Dr, Decatur, GA 30034-2328 | 2020-09-25 |
| 1558976050 | Denisha L Moss | Home Health Aide | 448 Harris Dr, Conyers, GA 30012-6516 | 2020-09-10 |
| 1548874548 | Terrance Argrow | Home Health Aide | 6304 Garrard Ave Ste B, Savannah, GA 31405-2737 | 2020-09-07 |
| 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.