EMMA WOMACK (NPI# 1174037881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174037881 |
| Entity Type | Individual |
| Full Name | EMMA WOMACK |
| Practice Address |
5430 Executive Pl Ste 2g Jackson MS 39206-4134 |
| Mailing Address |
389 Pinewood Ln Ridgeland MS 39157-4150 |
| Practice Telephone | 7692356145 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | MS | Nursing Service Related Providers | |
| Y | 376J00000X | Homemaker | MS | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09207260 | 05 | |
| MS | 00487044 | 05 |
| Street Address |
5430 EXECUTIVE PL STE 2G |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1437764891 | Janet Hammock | Homemaker | 171 Coffman St, Jackson, OH 45640-1211 | 2020-09-12 |
| 1851856579 | Sylvia L Terry | Homemaker | 2135 Henry Hill Dr Ste 1, Jackson, MS 39204-2027 | 2019-02-06 |
| 1396219382 | Mark A Woods | Homemaker | 360 Comet Dr Ste C, Jackson, MS 39206-4333 | 2019-01-14 |
| 1558847616 | Angela Coleman | Homemaker | 2317 Kibby Rd, Jackson, MI 49203-3835 | 2018-07-12 |
| 1326541178 | Jamila Birden | Homemaker | 3233 Charleston Dr, Jackson, MS 39212-4102 | 2018-03-16 |
| 1750883468 | Serenity Angels LLC | Homemaker | 3537 Cottage St, Jackson, MS 39213-5721 | 2018-03-08 |
| 1487156873 | Debra Ann Scott | Homemaker | 76 Woodland Dr, Jackson, TN 38305-6414 | 2018-03-02 |
| 1225559917 | Ronesha Haygood | Homemaker | 1636 Raymond Road Apt 17k, Jackson, MS 39205 | 2017-07-03 |
| 1245570597 | Dorothy M. Taylor | Homemaker | 104 Walnut Trace Dr., Jackson, TN 38305 | 2013-02-25 |
| Find all providers in JACKSON | ||||
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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.