LAKIA JACKSON (NPI# 1275192965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275192965 |
| Entity Type | Individual |
| Full Name | LAKIA JACKSON |
| Practice Address |
9700 W Capitol Dr Apt 1 Milwaukee WI 53222-1468 |
| Practice Telephone | 4143780268 |
| Mailing Telephone | 4143780268 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9700 W Capitol Dr Apt 2, Milwaukee, WI 532221468 | 4143780268 |
| Street Address |
9700 W CAPITOL DR APT 1 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| 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 |
|---|---|---|---|---|
| 1245749050 | Zehs Home Health Care LLC | Technician | 6001 W Center St Ste 208, Milwaukee, WI 53210-2154 | 2017-09-25 |
| 1568996049 | Tammie Lynn Du Pree | Technician | 1349 N 37th Pl, Milwaukee, WI 53208-2835 | 2017-04-12 |
| 1073799953 | Assisted Daily Living Inc. | Technician | 1121 N Waverly Pl, Milwaukee, WI 53202-3480 | 2008-01-10 |
| 1235749466 | Ladonna Jones | Technician | 4608 N 72nd St, Milwaukee, WI 53218-4856 | 2020-08-03 |
| 1780242115 | Whitney Pegues | Technician | 8531 W Lisbon Ave, Milwaukee, WI 53222-3728 | 2019-05-31 |
| 1063996213 | Cheryl Norah | Technician | 5132 N 60th St, Milwaukee, WI 53218-4103 | 2018-09-23 |
| 1992215289 | Debra Rena Young | Technician | 2800 W Howard Ave, Milwaukee, WI 53221-5814 | 2017-10-02 |
| 1881019032 | Kathy Carter | Technician | 6830 W Villard Ave, Milwaukee, WI 53218-3968 | 2014-02-25 |
| 1235408519 | Assure Home Care Services, LLC | Technician | 1962 W Hampton Ave, Milwaukee, WI 53209-5772 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291417 | Malaysia Shanae Allen | Technician | 1916 Western Ave, Manitowoc, WI 54220-3838 | 2020-10-06 |
| 1952917585 | Neeny Holdings, Inc. | Technician | 109 Prairie Grass Rd, Oregon, WI 53575-3948 | 2020-09-18 |
| 1669002200 | Cheryl Brown | Technician | S50w30392 Seville Ln, Mukwonago, WI 53149-8732 | 2020-01-23 |
| 1265085740 | Best Life Residential | Technician | 4709 Ferris Ave, Madison, WI 53716-1413 | 2019-07-23 |
| 1497315204 | Ravn Williams | Technician | 3532 E Tesch Ave, St Francis, WI 53235-4863 | 2019-06-14 |
| 1780170852 | Patricia Howard | Technician | 2941 Fish Hatchery Rd Apt 209, Fitchburg, WI 53713-3147 | 2018-07-02 |
| 1245764588 | Pang Vue | Technician | 12714 W Hampton Ave, Ste E, Butler, WI 53007-1640 | 2017-04-13 |
| 1184174419 | Cecile Gambrell | Technician | 309 Joellen Dr, Waukesha, WI 53188-4977 | 2016-10-11 |
| 1245600113 | Cinda Kaying Vang | Technician | 2301 Columbus Ln Apt 5, Madison, WI 53704-3581 | 2015-10-04 |
| 1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
| 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.