PAM JACKSON (NPI# 1114377462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114377462 |
| Entity Type | Individual |
| Full Name | PAM JACKSON |
| Practice Address |
900 W Choctaw Ave Chickasha OK 73018-2213 |
| Practice Telephone | 4052226500 |
| Mailing Telephone | 4052226500 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659555290 | Pam J Jackson | Pharmacist | 300 Se Salem St, Oak Grove, MO 64075-9299 | 2007-12-18 |
| Street Address |
900 W CHOCTAW AVE |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437241965 | Chickasha Public Schools | Public Health or Welfare | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2006-09-29 |
| 1902311137 | Misty Joyner | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2017-12-11 |
| 1316452550 | Sarah Ketchum | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2017-12-11 |
| 1982119251 | Kameron Lindsay | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2017-12-08 |
| 1750838322 | Janice Cockrum | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-09-01 |
| 1780139501 | Channing Brown | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1003361817 | Ladonna Phariss | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1831644665 | Leta Pruitt | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1033664859 | Justin Blaylock | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1396290102 | Justin Taylor | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
| Find all providers in zip 73018 | ||||
| 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 |
|---|---|---|---|---|
| 1902311137 | Misty Joyner | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2017-12-11 |
| 1316452550 | Sarah Ketchum | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2017-12-11 |
| 1982119251 | Kameron Lindsay | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2017-12-08 |
| 1750838322 | Janice Cockrum | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-09-01 |
| 1780139501 | Channing Brown | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1003361817 | Ladonna Phariss | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1831644665 | Leta Pruitt | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1033664859 | Justin Blaylock | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1396290102 | Justin Taylor | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| 1609321421 | Heather Crowder | Technician | 900 W Choctaw Ave, Chickasha, OK 73018-2213 | 2016-08-22 |
| Find all providers in CHICKASHA | ||||
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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.