CARLA RENE STAFFAN-JACKSON (NPI# 1770701161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770701161 |
| Entity Type | Individual |
| Full Name | CARLA RENE STAFFAN-JACKSON |
| Credential | STNA |
| Practice Address |
65 Paw Paw Dr Springboro OH 45066 |
| Practice Telephone | 9373672591 |
| Mailing Telephone | 9373672591 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 501122310606 | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2712489 | 05 | |
| OH | DODD | 5714169 | 01 |
| Street Address |
65 PAW PAW DR |
| City | SPRINGBORO |
| State | OH |
| Zip Code | 45066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609577 | Erica Lynn Ivey | Social Worker | 70 W. South St, Springboro, OH 45066 | 2020-11-02 |
| 1417515305 | Tapestry Springboro Senior Housing Management, LLC | Assisted Living Facility | 8683 Clearcreek Franklin Rd., Springboro, OH 45066 | 2019-06-05 |
| 1073081204 | Chelsea L Zastrow | Nurse Practitioner | 725 N. Main Street, Springboro, OH 45066 | 2018-11-06 |
| 1801378245 | Misty Woods | Nurse Practitioner | 540 W Central Ave., Springboro, OH 45066 | 2018-09-02 |
| 1154860815 | Infinity Chiropractic and Nutrition LLC | Chiropractor | 99 Edgebrooke Dr, Springboro, OH 45066 | 2017-02-14 |
| 1669898409 | Rebecca Miller | Physical Therapist | 195 Kesling Dr., Box 177, Springboro, OH 45066 | 2014-03-17 |
| 1124376157 | Motion Rehabilitation Center, LLC. | Occupational Therapist | 7917 Woodbridge Ct., Springboro, OH 45066 | 2012-08-23 |
| 1881827731 | Caroline Castleforte | Pediatrics | 8815 Glen Abbey Ct., Springboro, OH 45066 | 2009-08-26 |
| 1740453984 | Springboro Family Medicine Inc | Family Medicine | 5 Sycamore Creek Drive, Springboro, OH 45066 | 2008-04-09 |
| 1538389853 | Ohio Dental Professionals Workman, PC | Dentist | 780 North Main St, Springboro, OH 45066 | 2007-04-27 |
| Find all providers in zip 45066 | ||||
| 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 |
|---|---|---|---|---|
| 1548514920 | Mary K Newman | Home Health Aide | 2831 W Lower Springboro Rd, Springboro, OH 45066-7703 | 2012-11-06 |
| 1699029751 | Susan Riley | Home Health Aide | 7977 Locust Grove Ct, Springboro, OH 45066-7120 | 2012-10-28 |
| 1952542953 | Dorothy Louise Braden | Home Health Aide | 2100 Parker Rd, Springboro, PA 16435-3924 | 2009-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730920 | Dashawn Mcdowell | Home Health Aide | 128 Hawk Ave, Akron, OH 44312-1437 | 2020-11-08 |
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1245831981 | Raymond Arthur Smith | Home Health Aide | 3338 Stonington Cir, Ravenna, OH 44266-9093 | 2020-11-07 |
| 1336740091 | Deanna Jean Bays | Home Health Aide | 5537 Lake Michigan Dr, Fairfield, OH 45014-3268 | 2020-11-07 |
| 1659972313 | Dorthea Lucas | Home Health Aide | 6396 James Rouse Blvd, Canal Winchester, OH 43110-9675 | 2020-11-07 |
| 1366043176 | Tyreal Nycole Love | Home Health Aide | 506 Geneva Rd, Dayton, OH 45417-1349 | 2020-11-06 |
| 1588265367 | Melissa Hardesty | Home Health Aide | 269 Raymond Dr, Hubbard, OH 44425-1277 | 2020-11-06 |
| 1598366361 | Kurt Friedl | Home Health Aide | 7264 Bennell Dr, Reynoldsburg, OH 43068-7056 | 2020-11-06 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1578164638 | Sheila Marie Smith | Home Health Aide | 567 Treeside Dr, Stow, OH 44224-1111 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGBORO |
| Zip Code | 45066 |
Please comment or provide details below to improve the information on CARLA RENE STAFFAN-JACKSON.
| 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.