LATEASHA C JACKSON (NPI# 1952766354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952766354 |
| Entity Type | Individual |
| Full Name | LATEASHA C JACKSON |
| Practice Address |
1110 N 47th St Kansas City KS 66102-1702 |
| Mailing Address |
3227 N 103rd Ter Kansas City KS 66109-5814 |
| Practice Telephone | 9137091122 |
| Mailing Telephone | 9137091122 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
1110 N 47TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1144685454 | A Touch of Flair | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-31 |
| 1295190502 | Bundle Behavior | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1144694548 | Christina Williams | Specialist | 809 W 39th St # 160, Kansas City, MO 64111-7016 | 2015-11-23 |
| 1861836470 | Debra Ann Bonds | Specialist | 8010 Parallel Pkwy, Kansas City, KS 66112-2009 | 2013-04-25 |
| 1144685454 | A Touch of Flair | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-31 |
| 1295190502 | Bundle Behavior | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725122 | Tanisha Lee Alexander | Specialist | 761 N West St, Wichita, KS 67203-1240 | 2020-09-23 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1346649084 | Cherhea Mateika Hill | Specialist | 5908 Woodson Rd, Mission, KS 66202-3360 | 2014-08-19 |
| 1922439546 | Valdaze Mcdaniel | Specialist | 12702 Wenonga Ln, Leawood, KS 66209-1631 | 2013-12-07 |
| 1780789636 | Mark Earl Feathers | Specialist | 627 Graham St, Emporia, KS 66801-5107 | 2006-09-14 |
| 1275560518 | Life In Motion Orthotic & Prosthetic Center, Inc. | Specialist | 443 N Saint Francis Ave Ste E, Wichita, KS 67202-2629 | 2006-06-26 |
| 1770576944 | Accurate Prosthetics & Orthotics, Inc. | Specialist | 1512 E Iron Ave, Suite B, Salina, KS 67401-3236 | 2005-08-23 |
| 1427496215 | Kameche Andrews | Specialist | 8600 W 95th St, Overland Park, KS 66212-3202 | 2013-06-13 |
| City | KANSAS CITY |
| Zip Code | 66102 |
Please comment or provide details below to improve the information on LATEASHA C JACKSON.
| 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.