MACIA L JACKSON (NPI# 1871720094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871720094 |
| Entity Type | Individual |
| Full Name | MACIA L JACKSON |
| Credential | RNFA, CNOR |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Practice Telephone | 9372984331 |
| Mailing Telephone | 9372984331 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN174620 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RN MEDICAL LICENSE | RN174620 | 01 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386871549 | Patricia Irene Shinkle | Registered Nurse | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2009-06-16 |
| 1013144278 | Susan Kay Zann | Registered Nurse | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2009-06-16 |
| 1467689620 | Lynn Diane Rogers | Registered Nurse | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2009-06-16 |
| 1487881645 | Andrea Lynn Zimmerle | Registered Nurse | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2009-06-16 |
| 1023245255 | Joan S Koble | Registered Nurse | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2009-06-15 |
| 1760631634 | Stephen Adams | Registered Nurse | 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124685771 | Janice Ramsdell | Registered Nurse | 376 W 10th Ave Ste 406, Columbus, OH 43210-1280 | 2019-05-20 |
| 1649782095 | Northwest Surgical Assisting | Registered Nurse | 1864 Stockwell Dr, Columbus, OH 43235-7370 | 2017-10-25 |
| 1639604598 | Abigail Ann Barnes | Registered Nurse | 952 Willow Bluff Dr, Columbus, OH 43235-5046 | 2017-04-27 |
| 1578941654 | Cynthia Swanson | Registered Nurse | 3534 Spindle St Nw, Massillon, OH 44646-3147 | 2015-05-11 |
| 1730573379 | Brian Thomas | Registered Nurse | 70542 Swingle Rd, Bridgeport, OH 43912-9722 | 2015-03-21 |
| 1538577515 | Suzann Crump | Registered Nurse | 3431 Tremaine Rd, Columbus, OH 43232-6024 | 2014-07-23 |
| 1558601351 | Sandra Mason | Registered Nurse | 6393 N Windwood Dr, West Chester, OH 45069-4332 | 2013-02-15 |
| 1437421641 | Deanna Christine Belmonte | Registered Nurse | 5429 Blue Bell Ct, Grove City, OH 43123-8787 | 2012-02-02 |
| 1952670861 | Susan E Branham | Registered Nurse | 346 Preswicke Ml, Blacklick, OH 43004-8477 | 2011-12-21 |
| 1467748400 | Peter K Wainaina | Registered Nurse | 6897 Idlelea Drive, Reynoldsburg, OH 43068 | 2011-06-28 |
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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.