MRS. AMY LYNN JACKSON (NPI# 1063027134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063027134 |
| Entity Type | Individual |
| Full Name | MRS. AMY LYNN JACKSON |
| Practice Address |
812 County Road 24 N De Graff OH 43318-9716 |
| Practice Telephone | 9375392568 |
| Mailing Telephone | 9375392568 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 4601587 | OH | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489097 | Amy E Jackson | Social Worker | 102 Sloan Rd, Nashville, TN 37209-4636 | 2020-05-19 |
| 1780117804 | Amy Jackson | Counselor | 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 | 2017-04-05 |
| 1598116568 | Amy Jackson | Behavioral Analyst | 936 Central St Rear Unit, Framingham, MA 01701-4816 | 2016-06-30 |
| 1972866085 | Amy J Jackson | Nurse Practitioner | 2701 W North St Ste B, Muncie, IN 47303-3415 | 2012-06-22 |
| 1881754877 | Amy Jackson | Dentist | 14855 Blanco Rd Ste 109, San Antonio, TX 78216-7728 | 2006-12-11 |
| 1033155106 | Amy Marie Jackson | Family Medicine | 2731 Maguire Rd, Ocoee, FL 34761-4797 | 2006-06-20 |
| 1699772954 | Amy Elizabeth Jackson | Physician Assistant | 1124 Medical Pl, Seymour, IN 47274-2640 | 2005-07-01 |
| 1285235242 | Amy Fay Jackson | Nurse Practitioner | 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 | 2020-11-05 |
| 1376141747 | Amy Michele Jackson | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-16 |
| 1467019943 | Amy Jackson | Family Medicine | 155 Academy Ave, Greenwood, SC 29646-3869 | 2019-05-21 |
| Street Address |
812 COUNTY ROAD 24 N |
| City | DE GRAFF |
| State | OH |
| Zip Code | 43318-9716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043361850 | Riverside Emergency Medical Service Inc | Ambulance | 105 S Boggs, Degraff, OH 43318 | 2007-01-16 |
| 1023254323 | Riverside Local Schools | Local Education Agency (LEA) | 2096 County Road 24 S, Degraff, OH 43318-9406 | 2008-12-17 |
| 1609346592 | Erica Heitkamp | Speech-Language Pathologist | 2096 County Road 24 S, De Graff, OH 43318-9406 | 2018-12-04 |
| 1235531575 | Jane Ludlow | Registered Nurse | 6890 Rosewood Quincy Rd, De Graff, OH 43318-9521 | 2014-09-18 |
| 1871108951 | Sarah Roberts | Home Health Aide | 6456 State Route 245, De Graff, OH 43318-9545 | 2020-09-15 |
| 1780291476 | Mary Fleischmann | Homemaker | 9800 Friend Rd, De Graff, OH 43318-9555 | 2020-09-26 |
| 1518355114 | Brittany Lynn Shough | Specialist/Technologist | 1193 Cornish Dr, De Graff, OH 43318-9617 | 2015-01-05 |
| 1780156679 | Debra Sue Gilmore | Registered Nurse | 7776 Township Road 30, De Graff, OH 43318-9633 | 2018-12-18 |
| 1326281304 | Victoria Edith Christensen | Registered Nurse | 109 N Mill St, Pob 523, De Graff, OH 43318-9659 | 2009-04-07 |
| 1326392218 | Rebecca Shaw | Licensed Practical Nurse | 8617 State Route 47 W, De Graff, OH 43318-9714 | 2012-10-31 |
| Find all providers in zip 43318 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| 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.