MS. LAKESHIA MICHELLE JACKSON


Address: 2205 Blue Bell Ter, Kearney, MO 64060-7313
Phone: 8165881343

MS. LAKESHIA MICHELLE JACKSON (NPI# 1881954071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881954071
Entity Type Individual
Full Name MS. LAKESHIA MICHELLE JACKSON
Practice Address 2205 Blue Bell Ter
Kearney
MO 64060-7313
Practice Telephone 8165881343
Mailing Telephone 8169030103
Enumeration Date 2012-05-21
Last Update Date 2012-05-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker MO Behavioral Health & Social Service Providers
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MO Residential Treatment Facilities
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
MO Respite Care Facility
N 171M00000X Case Manager/Care Coordinator MO Other Service Providers

Other Providers LAKESHIA JACKSON

NPI Name Taxonomy Address Enumeration
1609313840 Lakeshia Jackson Nurse Practitioner 912 S Washington Ave, Saginaw, MI 48601-2564 2017-01-26

Office Location

Street Address 2205 BLUE BELL TER
City KEARNEY
State MO
Zip Code 64060-7313

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972913572 Leaann M. Zeller Registered Nurse 1311 Heather Ct, Kearney, MO 64060 2014-05-05
1386793602 Janet L Gilbert Family Medicine 15415 Hwy 92, Kearney, MO 64060 2007-01-09
1386720373 Christina Dak-wai Donze Nurse Practitioner 301 B South Platte Clay Way, Kearney, MO 64060 2006-10-31
1942317193 Kevin C Allman Dentist 301 S Jefferson, Kearney, MO 64060 2006-08-24
1609369917 Sydney Erin Anderson Occupational Therapist 101 W 92 Hwy Ste H, Kearney, MO 64060 2018-06-11
1083126569 Annah C Sybouts Nurse Practitioner 305 S Platte Clay Way, Kearney, MO 64060 2017-10-24
1134236383 William R Reed Jr. Dentist 301 S Jefferson, Kearney, MO 64060 2006-08-24
1821438870 Nicholas Schuier Dentist 801 Watson Dr, Ste#g, Kearney, MO 64060-4501 2013-07-03
1548790066 Daniel Guerra Dentist 801 Watson Dr, Kearney, MO 64060-4515 2017-06-18
1831361906 Cameron Callaway Lindsey Pharmacist 2300 Summit Trl, Kearney, MO 64060-7332 2008-03-29
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609475516 Brandi Janelle Hickman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 2020-10-21
1154935112 Overcomers Counseling Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17101 East 203rd St, Peculiar, MO 64078 2020-09-06
1386265965 Candace Palmer Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2405 Bowe Ln, Jefferson City, MO 65109-9116 2020-05-05
1902426596 Matt Ferguson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4480 Bradley Dr, Joplin, MO 64804-5503 2020-04-23
1689206211 Insight Industry LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 2020-02-11
1598306904 Hearo Technologies LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 2019-10-07
1437790219 Darin Roark Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 2019-10-03
1942851399 Wyatt's Dream Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 205 State Highway Aa, Sikeston, MO 63801-5303 2019-09-26
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1043870181 Rebuild Contracting LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 2019-06-20
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Competitor

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City KEARNEY
Zip Code 64060

Improve Information

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Dataset Information

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.

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