AVIS SHANTRELL JACKSON (NPI# 1861030835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861030835 |
| Entity Type | Individual |
| Full Name | AVIS SHANTRELL JACKSON |
| Practice Address |
1700 Nw 66th St Miami FL 33147-7444 |
| Practice Telephone | 7863334557 |
| Mailing Telephone | 7863334557 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | FL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396309399 | Avis Jackson | Social Worker | 714 Oakland Dr, Natchitoches, LA 71457-5626 | 2019-04-24 |
| 1770115206 | Avis Jackson | Case Manager/Care Coordinator | 9487 Brookline Ave, Baton Rouge, LA 70809-1429 | 2020-02-12 |
| Street Address |
1700 NW 66TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33147-7444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546708 | Sade Thornton | Adult Companion | 1214 Nw 62 Lane, Miami, FL 33147 | 2019-03-07 |
| 1760969471 | One Healthcare Solution Inc | Nurse Practitioner | 10443 Nw 29th Ct, Miami, FL 33147 | 2018-07-25 |
| 1144715178 | Damaris Tabarez | Technician, Other | 8801 Nw 33rd Court Rd, Miami, FL 33147 | 2018-06-22 |
| 1295237790 | Elaine Nunez | Behavior Technician | 3425 Nw 87th Ter, Miami, FL 33147 | 2018-03-01 |
| 1376043695 | Brownsville Wellness and Rehab Center, LLC | Chiropractor | 7900 Nw 27 Avenue Suite D11, Miami, FL 33147 | 2018-02-13 |
| 1174031199 | Jidlyne Remy Cherelus | Nurse Practitioner | 2520 Nw 75th St, Miami, FL 33147 | 2018-01-11 |
| 1356862627 | Mailanys Garcia | Behavior Technician | 3050 Nw 106th St, Miami, FL 33147 | 2017-06-27 |
| 1598290835 | Maylin Prieto Iglesias | Behavior Technician | 9031 Nw 36th Ave, Miami, FL 33147 | 2017-04-24 |
| 1033655899 | Librada Lemus | Behavior Technician | 10510 Nw 36 Ct, Miami, FL 33147 | 2017-01-17 |
| 1801331038 | Yadmila Boullosa | Behavior Technician | 1280 Nw 79th St, 303, Miami, FL 33147 | 2016-12-26 |
| Find all providers in zip 33147 | ||||
| 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 |
|---|---|---|---|---|
| 1518566058 | Yarima Coto Armentero | Home Health Aide | 9545 Sw 24th St Apt B201, Miami, FL 33165-8079 | 2020-10-24 |
| 1881207801 | Yakelin Isaac Torres | Home Health Aide | 9688 Fontainebleau Blvd Apt 208, Miami, FL 33172-4122 | 2020-08-28 |
| 1750904223 | Teddy Pierre-louis | Home Health Aide | 282 Ne 166th St, Miami, FL 33162-3556 | 2020-05-19 |
| 1275154858 | Manuel F Sanchez | Home Health Aide | 11410 Sw 35th Ln, Miami, FL 33165-3328 | 2020-05-05 |
| 1588293377 | Tomasa Lara | Home Health Aide | 17132 Sw 137th Ct, Miami, FL 33177-6499 | 2020-04-03 |
| 1285273458 | Allison Jones | Home Health Aide | 11425 Sw 214th St, Miami, FL 33189-2715 | 2020-01-05 |
| 1972148807 | Yeimi Marney Chacon Colmenares | Home Health Aide | 14825 Sw 91st Ter, Miami, FL 33196-1497 | 2019-11-14 |
| 1821633751 | Violeta De La Caridad Navarro Echenique | Home Health Aide | 15300 Sw 123rd Ave Apt 300, Miami, FL 33177-6802 | 2019-11-14 |
| 1518502533 | Herllen Martinez | Home Health Aide | 10211 Sw 13th St, Miami, FL 33174-2713 | 2019-11-13 |
| 1376194837 | Vanessa Eliette Delgado Lopez | Home Health Aide | 14631 Sw 114th Ter, Miami, FL 33186-7038 | 2019-09-26 |
| Find all providers in MIAMI | ||||
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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.