COURTNEY JACKSON (NPI# 1891394938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891394938 |
| Entity Type | Individual |
| Full Name | COURTNEY JACKSON |
| Practice Address |
497 Candlestick Ct Apt B Galloway OH 43119-9216 |
| Practice Telephone | 6148173297 |
| Mailing Telephone | 6148173297 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1912318429 | Courtney Jackson | Technician | 4134 Woodmont Dr, Houston, TX 77045-3330 | 2014-05-19 |
| 1760814396 | Courtney Danielle Jackson | Counselor | 534 E Basin St, Norristown, PA 19401-4068 | 2013-08-06 |
| 1487930723 | Courtney Jackson | Specialist/Technologist | 19424 Fallow Ln, Edinburg, TX 78542-1038 | 2011-11-01 |
| 1689824302 | Courtney Brooke Jackson | Naturopath | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2008-09-30 |
| 1063606846 | Courtney Lara Jackson | Counselor | 1801 Vincente St, San Francisco, CA 94116-2923 | 2007-09-05 |
| 1164029245 | Courtney Jackson | Speech-Language Pathologist | 65 Court St, Brooklyn, NY 11201-4916 | 2020-10-02 |
| 1457966509 | Courtney Tamara Jackson | Nurse Practitioner | 407 Cowart Ave, Valdosta, GA 31602-2635 | 2020-09-14 |
| 1013533926 | Courtney Marie Jackson | Family Medicine | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2020-06-17 |
| 1508494600 | Courtney Elyse Jackson | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-04-01 |
| Street Address |
497 CANDLESTICK CT APT B |
| City | GALLOWAY |
| State | OH |
| Zip Code | 43119-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623945 | Sylvia A Horton | Counselor | 1978 Cardinal Trail Dr, Galloway, OH 43119 | 2019-11-12 |
| 1689076358 | Kelly Birnbrich | Occupational Therapist | 823 Thornview Dr, Galloway, OH 43119 | 2014-09-24 |
| 1043635261 | Katina Spanos | Speech-Language Pathologist | 1000 Alton Road, Galloway, OH 43119 | 2014-02-25 |
| 1427387810 | Adeline M Cursio | Registered Nurse | 1263 Amity Rd, Galloway, OH 43119 | 2009-12-14 |
| 1831323666 | Rennee Michelle Grishka | Physical Therapist | 581 Crestmont Court, Galloway, OH 43119 | 2009-05-07 |
| 1871705061 | Unique Noelle Martin | Licensed Practical Nurse | 1579 Morton Ct, Galloway, OH 43119 | 2007-05-03 |
| 1972724516 | Pamela S. Moser | Contractor | 6109 Jimson Dr., Galloway, OH 43119 | 2007-05-01 |
| 1801041355 | Rexall G Mccarley | Contractor | 1700 Heinzerling Dr, Columbus, OH 43119 | 2008-11-25 |
| 1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
| 1467665125 | Jamean R. Mallinson | Skilled Nursing Facility | 523 Star Spangled Pl, Galloway, OH 43119-8009 | 2007-05-08 |
| Find all providers in zip 43119 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272098 | Desirea Mouser | Technician | 180 I Street, Galloway, WV 26349 | 2020-10-16 |
| 1225644867 | Heather Susan Fout | Technician | 776 Fuzzy Zoeller Cir, Galloway, OH 43119-8225 | 2020-09-18 |
| 1851903843 | Janet Nicole Andrade | Technician | 126 I St, Galloway, WV 26349 | 2020-08-20 |
| 1548871460 | Jerrel Franklin Knapp | Technician | I Street, Galloway, WV 26349 | 2020-08-13 |
| 1205277829 | Rustie Lynn Smith | Technician | 1401 Plain City Georgesville Rd Se, Galloway, OH 43119-9601 | 2013-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518703 | Matthew Gaylor | Technician | 6 Coral Cir, Belpre, OH 45714-1553 | 2020-11-08 |
| 1245831916 | Nicole Bosworth | Technician | 5718 Rousseau Dr, Huber Heights, OH 45424-4329 | 2020-11-08 |
| 1104427863 | Amanda Jo Simulcik | Technician | 3933 Courtyard Dr, Lorain, OH 44053-4431 | 2020-11-07 |
| 1386245025 | Virginia A Patton | Technician | 40560 Burlingham Rd Bsmt, Shade, OH 45776-9556 | 2020-11-07 |
| 1487255261 | Lori Danielle Hann | Technician | 361 York Ave, Delaware, OH 43015-1578 | 2020-11-06 |
| 1346841137 | Jamison Ward Howell | Technician | 300 W Cross St, Morristown, OH 43759-0134 | 2020-11-06 |
| 1154922078 | Shannon Sebring | Technician | 16837 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093316002 | William Patrick Gay | Technician | 134 Smith St, Portsmouth, OH 45662-8766 | 2020-11-05 |
| 1780285684 | Brenda Mcallister | Technician | 10089 High St, Rarden, OH 45671-9047 | 2020-11-05 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.