KEISHA SHAVONNE JACKSON-MURRY (NPI# 1851859706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851859706 |
Entity Type | Individual |
Full Name | KEISHA SHAVONNE JACKSON-MURRY |
Practice Address |
812 Gladstone Dr Vernon Hills IL 60061-1406 |
Practice Telephone | 8476446920 |
Mailing Telephone | 8476446920 |
Enumeration Date | 2019-03-11 |
Last Update Date | 2019-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
812 GLADSTONE DR |
City | VERNON HILLS |
State | IL |
Zip Code | 60061-1406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
Find all providers in zip 60061 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225653330 | Eduardo Arias | Prosthetist | 811 S Paulina St Ste 161, Chicago, IL 60612-4353 | 2020-06-15 |
1063041036 | Tanyale Allen | Prosthetist | 1016 E 156th Pl, Dolton, IL 60419-2775 | 2020-04-02 |
1700414950 | Harold Wayne Duckett | Prosthetist | 1801 15th Street Pl, Moline, IL 61265-3964 | 2020-03-31 |
1598395535 | Samira Kamran | Prosthetist | 211 E Ohio St Apt 2505, Chicago, IL 60611-3257 | 2020-01-17 |
1558906065 | Meilani Schaeffer | Prosthetist | 11317 W 159th St, Orland Park, IL 60467-5659 | 2019-11-08 |
1124586078 | Kaiisha Dear Sweet | Prosthetist | 3408 W 95th St, Evergreen Park, IL 60805-2204 | 2019-03-11 |
1811461437 | Debria Filer | Prosthetist | 16126 S Park Ave, South Holland, IL 60473-1581 | 2019-01-16 |
1053813089 | James Paul Shrader | Prosthetist | 1551 Bond Street, Suite 111, Naperville, IL 60563 | 2018-03-06 |
1144738519 | Taisha Worlds | Prosthetist | 2745 Bristol Dr, Lisle, IL 60532-4215 | 2018-01-18 |
1215455852 | Bethany Banks | Prosthetist | 9161 W. Cermak Rd, North Riveride, IL 60546 | 2017-09-04 |
Find all providers with the same taxonomy |
City | VERNON HILLS |
Zip Code | 60061 |
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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.