JACQUELINE HOLCOM (NPI# 1235491192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235491192 |
| Entity Type | Individual |
| Full Name | JACQUELINE HOLCOM |
| Practice Address |
407 Skyway Dr Warner Robins GA 31088-3868 |
| Practice Telephone | 4782285569 |
| Mailing Telephone | 4782285569 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address |
407 SKYWAY DR |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-3868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982723201 | Calle Vinas, Inc. | Nurse's Aide | 312 N Davis Dr, Warner Robins, GA 31093-3350 | 2007-03-28 |
| 1184152738 | Nicole Boyer | Nurse's Aide | 940 Ga Highway 96, Warner Robins, GA 31088-2584 | 2017-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354831 | Genise Collins | Nurse's Aide | 202 Robin Ln, Moultrie, GA 31788-7281 | 2020-10-17 |
| 1902412208 | Toni Brennette Stanford | Nurse's Aide | 600 Mountainview Dr, Covington, GA 30016-7191 | 2020-09-22 |
| 1821604869 | Travise Farmer | Nurse's Aide | 109 Evenview Dr, Jonesboro, GA 30236-4938 | 2020-09-16 |
| 1114532280 | Sabrina Home Health Care | Nurse's Aide | 6265 S Gordon Rd, Austell, GA 30168-5000 | 2020-09-15 |
| 1932714243 | Sabrina Ann Folmar | Nurse's Aide | 1600 Roberta Dr Sw Apt 1110, Marietta, GA 30008-3880 | 2020-09-14 |
| 1851904346 | Shilliane M Green | Nurse's Aide | 935 S Grove Blvd Apt 6, Kingsland, GA 31548-5257 | 2020-08-25 |
| 1477164390 | Shanquetris Williams | Nurse's Aide | 613 Crabapple Pl, Macon, GA 31217-5575 | 2020-08-13 |
| 1316555063 | Jennifer E Williams | Nurse's Aide | 283 Pinehurst Dr, Saint Marys, GA 31558-4639 | 2020-07-20 |
| 1942827381 | Courtney Shanae Smart | Nurse's Aide | 124 Heritage Way, Savannah, GA 31419-9650 | 2020-07-01 |
| 1023634136 | Robyn Mercedes Bell | Nurse's Aide | 2091 Willhaven Dr, Augusta, GA 30909-0653 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.