ARLENE JACKSON (NPI# 1891301917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891301917 |
| Entity Type | Individual |
| Full Name | ARLENE JACKSON |
| Practice Address |
23 Senior Center Dr Sutton WV 26601-9581 |
| Practice Telephone | 3047654090 |
| Mailing Telephone | 3047654090 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861943193 | Arlene Jackson | Counselor | 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 | 2016-10-21 |
| 1982875035 | Arlene Maria Jackson | Nurse Practitioner | 201 16th Ave E, Seattle, WA 98112-5226 | 2008-03-17 |
| Street Address |
23 SENIOR CENTER DR |
| City | SUTTON |
| State | WV |
| Zip Code | 26601-9581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740325604 | Braxton County Senior Citizens Center, Inc. | Nursing Care | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2007-02-20 |
| 1508467747 | Charlene Jane Ware | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-11-04 |
| 1316544885 | Brittany Leann Conner | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1750988234 | Karen Sue Jarrell | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1558968032 | Rachel Ann Fowler | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1124625603 | Judith Ann Floyd | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1720685209 | Heather Leigh Tanner | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1548867021 | Robert Andrew Mcdivitt | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1952908436 | Anna Nell Dodrill | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| 1891392379 | Andrea Lynn Mcmillion | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952914194 | Charlotte Ann Coffman | Technician | 42 Ashley Pl, Lot 2, Sutton, WV 26601 | 2020-08-27 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1912391772 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 369 Scotts Fork-bonnie Rd, Sutton, WV 26601 | 2015-03-19 |
| 1063785798 | Amanda Laurel Steiger | Specialist | 89 Mid Mountain Ln, Suite 1, Sutton, WV 26601 | 2012-02-10 |
| 1770876021 | Christina B Gillenwater | Family Medicine | 273 Skidmore Lane, Sutton, WV 26601 | 2011-05-19 |
| 1013189059 | Kelli L Boggs | Registered Nurse | 411 North Hill Road, Braxton County Board of Education, Sutton, WV 26601 | 2008-03-31 |
| 1396849030 | Laura Lou Marple | Dentist | 304 Riverview Dr, Sutton, WV 26601 | 2006-09-12 |
| 1083625305 | Cynthia Talbott Vincent | Physician Assistant | 93 Skidmore Lane, Sutton, WV 26601 | 2006-08-11 |
| Find all providers in zip 26601 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446646 | Cathy Sue Cottrell | Homemaker | 101 2nd St Ste 201, Sutton, WV 26601-1303 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737297 | Minerva Jean Hevener | Homemaker | 27 Midway Loop, Elkins, WV 26241-1373 | 2020-10-13 |
| 1114524857 | Tina Alley | Homemaker | 1277 Stoney Ridge Rd, Bluefield, WV 24701-4266 | 2020-10-06 |
| 1710592225 | Brandi Michelle Boho | Homemaker | 559 Keyes Gap Rd, Harpers Ferry, WV 25425-6279 | 2020-09-11 |
| 1710599733 | Kristen Derringer | Homemaker | 173 Ann St, Oak Hill, WV 25901-9506 | 2020-08-20 |
| 1871105072 | Raven Vinoski | Homemaker | 99 Pear Tree Dr, Moorefield, WV 26836-9113 | 2020-08-19 |
| 1629689302 | Ashley Burns | Homemaker | 101 Memory Ln, Martinsburg, WV 25405-3635 | 2020-08-14 |
| 1417568213 | Lovine Wolfe | Homemaker | 70 Rio Grande Rd, Petersburg, WV 26847-4503 | 2020-08-14 |
| 1790396588 | Joshua P Spradling | Homemaker | 121 Rio Grande Rd, Petersburg, WV 26847-5496 | 2020-08-14 |
| 1568073724 | Connie S Johnston | Homemaker | 1029 Wild Dog Pass, Delray, WV 26714-4629 | 2020-08-12 |
| 1497365712 | Sharon S Offutt | Homemaker | 760 Tyrone Rd, Morgantown, WV 26508-2965 | 2020-08-02 |
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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.