CARLA JACKSON (NPI# 1053812180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053812180 |
| Entity Type | Individual |
| Full Name | CARLA JACKSON |
| Practice Address |
2500 Clayton St N Las Vegas NV 89032-3802 |
| Mailing Address |
7320 Smoke Ranch Rd Las Vegas NV 89128-1800 |
| Practice Telephone | 7252009038 |
| Mailing Telephone | 7023800600 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | NV | Nursing Service Related Providers | |
| N | 372600000X | Adult Companion | NV | Nursing Service Related Providers | |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
NV | Nursing Service Related Providers | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NV | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | NV | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555770 | Carla L Jackson | Social Worker | 3518 Tupelo Way, Knoxville, TN 37912-4885 | 2019-12-12 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1902159080 | Carla Yolanda Jackson | Counselor | 6108 Centennial Dr, Orlando, FL 32808-1842 | 2012-10-26 |
| 1558554055 | Carla Wood Jackson | Speech-Language Pathologist | 600 W College Ave, Fsu Speech & Hearing Clinic, Tallahassee, FL 32306-1058 | 2007-08-20 |
| 1063901411 | Carla Jackson | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-05-01 |
| 1427591429 | Carla Jackson | Behavior Technician | 5816 Creedmoor Rd, Suite 104, Raleigh, NC 27612-2310 | 2016-11-22 |
| 1194142257 | Carla M. Michel Jackson | Nurse Practitioner | 1033 E Mount Pleasant Rd, Evansville, IN 47725-7149 | 2014-03-26 |
| Street Address |
2500 CLAYTON ST |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89032-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| 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 |
|---|---|---|---|---|
| 1730798315 | Graciela Macedo | Technician | 3128 Van Der Meer St, N Las Vegas, NV 89030-5138 | 2020-07-29 |
| 1346867009 | Brandace Julia Sexton | Technician | 5405 Cruz Crest Ct, N Las Vegas, NV 89081-4076 | 2020-06-29 |
| 1962024794 | Uma Sharma | Technician | 4333 Desert Haven Ave, N Las Vegas, NV 89085-2314 | 2020-05-14 |
| 1679194070 | A Wise Choice Home Care LLC | Technician | 5717 Artesia Fountain St, N Las Vegas, NV 89031-3750 | 2020-04-27 |
| 1417598145 | Jessica George | Technician | 5508 Oatfield St, N Las Vegas, NV 89081-2979 | 2019-10-03 |
| 1730720426 | Phillip Eugene Ware | Technician | 3826 Sorrowing Sparrow Ct, N Las Vegas, NV 89032-9067 | 2019-10-03 |
| 1558917369 | Lisa Pier | Technician | 3940 N Martin Luther King Blvd 106, N Las Vegas, NV 89032 | 2019-08-16 |
| 1124674726 | William Howard Massimino | Technician | 4720 Cohiba Way, N Las Vegas, NV 89031-0268 | 2019-08-11 |
| 1114573714 | Martha Blanco | Technician | 3824 Intermezzo Way, N Las Vegas, NV 89032-0656 | 2019-08-11 |
| 1568018125 | Maria Luisa Llamas De Marez | Technician | 4325 W Rome Blvd Apt 1141, N Las Vegas, NV 89084-5407 | 2019-08-09 |
| Find all providers in N LAS VEGAS | ||||
| City | N LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on CARLA 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.