KIMMARRIA JACKSON (NPI# 1972101798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101798 |
| Entity Type | Individual |
| Full Name | KIMMARRIA JACKSON |
| Practice Address |
7517 Cobal Canyon Ln Las Vegas NV 89129-2903 |
| Practice Telephone | 7023390356 |
| Mailing Telephone | 7023390356 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
7517 COBAL CANYON LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89129-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780967760 | Robert Garcia | Rehabilitation Practitioner | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2011-09-26 |
| 1114528478 | Aubree Nicole Unruh | Technician | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-11-03 |
| 1558978874 | Healing Touch Home Care LLC | In Home Supportive Care | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-09-30 |
| 1225645997 | Monique Lyons | Technician | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-09-28 |
| 1962018218 | Jerri Moore | Technician | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-09-22 |
| 1568078814 | Maiya Johnson | Technician | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-09-22 |
| 1922610666 | James Fields Jr. | Technician | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-08-22 |
| 1992317325 | Healing Touch Home Care LLC | In Home Supportive Care | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-08-18 |
| 1750905089 | Healing Touch Home Care LLC | In Home Supportive Care | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2020-06-02 |
| 1619250693 | Patricia Garcia | Rehabilitation Practitioner | 7517 Cobal Canyon Ln, Las Vegas, NV 89129-2903 | 2011-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
| 1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
| 1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
| 1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
| 1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
| 1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| Find all providers in zip 89129 | ||||
| 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 |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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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.