KIM YVETTE JACKSON (NPI# 1841706835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841706835 |
| Entity Type | Individual |
| Full Name | KIM YVETTE JACKSON |
| Practice Address |
2101 Hickory Hill Dr Mansfield TX 76063-2070 |
| Practice Telephone | 7088297453 |
| Mailing Telephone | 7088297453 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415464 | Kim B Jackson | Massage Therapist | 29 Glen Cove Ave Ste 212, Glen Cove, NY 11542-2831 | 2020-10-18 |
| 1801215595 | Kim E Jackson | Marriage & Family Therapist | 1337 Forest Dr, Louisville, KY 40219-1418 | 2014-04-10 |
| 1285944637 | Kim Janice Jackson | Licensed Practical Nurse | 1135 East 82nd Street, Brooklyn, NY 11236 | 2010-10-19 |
| 1861987331 | Kim N Jackson | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2018-06-27 |
| 1285177261 | Kim Jackson | Rehabilitation Practitioner | 201 E 16th Ave, 206, Anchorage, AK 99501-5265 | 2016-11-23 |
| 1902257389 | Kim Jackson | Community Health Worker | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2016-06-27 |
| 1285933176 | Kim Marie Jackson | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2011-03-18 |
| 1003126699 | Kim M Jackson | Social Worker | 3737 Lander Road, Pepper Pike, OH 44124-5712 | 2010-10-15 |
| 1033143581 | Kim Jackson | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-10 |
| Street Address |
2101 HICKORY HILL DR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816656 | Hear Our Voices LLC | Non-emergency Medical Transport (VAN) | 2101 Hickory Hill Dr, Mansfield, TX 76063-2070 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170567 | Adeyinka Adekanola | Non-emergency Medical Transport (VAN) | 1600 Monte Carlo Dr, Mansfield, TX 76063-6291 | 2020-10-05 |
| 1538784152 | Kimberly Hadnott | Non-emergency Medical Transport (VAN) | 1953 Highway 513, Mansfield, LA 71052-5113 | 2020-06-09 |
| 1558849265 | Musa Logistics Inc | Non-emergency Medical Transport (VAN) | 2008 Walnut Hills Ln, Mansfield, TX 76063-5032 | 2018-08-03 |
| 1942748587 | Keeling Transit | Non-emergency Medical Transport (VAN) | 2103 Harvest Way, Mansfield, TX 76063-7677 | 2017-02-02 |
| 1841661436 | Pwk Logistics LLC | Non-emergency Medical Transport (VAN) | 1605 Monte Carlo Dr, Mansfield, TX 76063-6292 | 2015-10-08 |
| 1528445517 | Elite Medical Transport of Mansfield LLC | Non-emergency Medical Transport (VAN) | 165 Marion Ave, Mansfield, OH 44903-2223 | 2015-04-29 |
| 1780083162 | Mary Mcleod-bethune Intervention & Enrichment Center | Non-emergency Medical Transport (VAN) | 271 Hedges St, Mansfield, OH 44902-8611 | 2014-08-21 |
| 1477969277 | Extension Home Health Services LLC | Non-emergency Medical Transport (VAN) | 5101 Crestwater Dr, Mansfield, TX 76063-6842 | 2014-07-01 |
| 1003172636 | Medical Transit Connection | Non-emergency Medical Transport (VAN) | 1609 Cheyenne Trl, Mansfield, TX 76063-7958 | 2012-04-09 |
| 1073759445 | Verge Two International | Non-emergency Medical Transport (VAN) | 1613 Monte Carlo Dr, Mansfield, TX 76063-6292 | 2009-01-06 |
| Find all providers in MANSFIELD | ||||
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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.