PEGGY JO TACKETT (NPI# 1760603732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760603732 |
| Entity Type | Individual |
| Full Name | PEGGY JO TACKETT |
| Practice Address |
4 Terrace Drive Ashland OH 44805 |
| Practice Telephone | 4194962126 |
| Mailing Telephone | 4194962126 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 2509673 | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2509673 | 05 |
| Street Address |
4 TERRACE DRIVE |
| City | ASHLAND |
| State | OH |
| Zip Code | 44805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1417421488 | Professional Dental Alliance of Ashland, LLC | Dentist | 1860 East Main St., Ashland, OH 44805 | 2019-01-14 |
| 1881164473 | Destiny Dawn Williams | Student in an Organized Health Care Education/Training Program | 1115 Union Street, Ashland, OH 44805 | 2018-11-27 |
| 1992273106 | Marc Schaffer | Occupational Therapist | Kingston of Ashland, 20 Amberwood Parkway, Ashland, OH 44805 | 2018-11-06 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1588171847 | Belinda Foster | Pharmacist | 419 Claremont Ave, Ashland, OH 44805 | 2018-01-08 |
| 1851816649 | Heather Donnenwirth | Social Worker | 1763 St. Rt 60, Suite 120, Ashland, OH 44805 | 2017-08-14 |
| 1619498722 | Stephanie Darm | Speech-Language Pathologist | 1407 Claremont Ave, Ashland, OH 44805 | 2017-06-28 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| Find all providers in zip 44805 | ||||
| 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 |
|---|---|---|---|---|
| 1841809795 | Scott Allen Perry | Home Health Aide | 1937 Claremont Ave Lot 113, Ashland, OH 44805-3568 | 2020-07-27 |
| 1154707479 | Kim D Harris | Home Health Aide | 258 A Street, Suite 1, #22, Ashland, OR 97520-1947 | 2015-08-10 |
| 1720421183 | Lisa Marie Manges | Home Health Aide | 1419 Smith Rd, Ashland, OH 44805-3441 | 2013-04-16 |
| 1568684561 | Crystal Lee Wise | Home Health Aide | 1559 St Rt 60, Ashland, OH 44805 | 2007-05-02 |
| 1881717106 | Nicole Marie Colby | Home Health Aide | 561 Cherry St, Ashland, OH 44805 | 2007-04-10 |
| 1912029307 | Rita Renee Oswalt | Home Health Aide | 1106 County Road 30a, Ashland, OH 44805-9422 | 2007-04-04 |
| 1972622454 | Tina Renee Newlan | Home Health Aide | 226 W 4th St, Ashland, OH 44805 | 2007-03-28 |
| 1447389648 | Tamera Lee Flickinger | Home Health Aide | 1101 Orange Rd, Ashland, OH 44805-1722 | 2007-03-05 |
| 1912056581 | Beverly Ann Earlenbaugh | Home Health Aide | 726 Edgehill Ave, Ashland, OH 44805-4118 | 2007-01-10 |
| 1386118727 | Wendy Yvonne Maust | Home Health Aide | 320 Pleasant St, Ashland, OH 44805-2029 | 2019-01-18 |
| Find all providers in ASHLAND | ||||
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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.