MS. KENGORE BEATRICA JACKSON (NPI# 1326449828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326449828 |
| Entity Type | Individual |
| Full Name | MS. KENGORE BEATRICA JACKSON |
| Practice Address |
1635 Sundale Ave Cincinnati OH 45239-4969 |
| Practice Telephone | 5134985863 |
| Mailing Telephone | 5134985863 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 147653 | OH | Nursing Service Providers |
| Street Address |
1635 SUNDALE AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45239-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295453 | Katlyn Avery | Registered Nurse | 1635 Sundale Ave, Cincinnati, OH 45239-4969 | 2020-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312786 | Personal Companions Home Care LLC | Home Health | 6225 Colerain Ave Ste C, Cincinnati, OH 45239 | 2018-04-02 |
| 1447769047 | Divine Destiny Home Care Agency | In Home Supportive Care | 6625 New Bridge Dr., Cincinnati, OH 45239 | 2017-09-26 |
| 1063939262 | Alexandra Cunningham | Registered Nurse | 5730 Colerain Ave., Cincinnati, OH 45239 | 2017-08-28 |
| 1598289803 | Jeanise D Randolph | Case Manager/Care Coordinator | 3425 North Bend Suite F, Cincinnati, OH 45239 | 2017-07-28 |
| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1841727625 | Danita Marie White | Counselor | 5887 Montfort Hills Ave. #3, Cincinnati, OH 45239 | 2017-05-11 |
| 1801249867 | Regina Gullette | Counselor | 5980 Colerain Ave, 36, Cincinnati, OH 45239 | 2016-07-14 |
| 1811393051 | Angela Bien | Psychologist | 3420 Banning Road, Cincinnati, OH 45239 | 2014-11-17 |
| 1568895076 | Shavonne Noble | Registered Nurse | 1830 Sundale Ave, Cincinnati, OH 45239 | 2013-08-20 |
| 1609216613 | Eusebio Tiu Gaw | Surgery | 3515 Banning Rd., Cincinnati, OH 45239 | 2013-07-05 |
| Find all providers in zip 45239 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1194332304 | Ebony G Porter | Licensed Practical Nurse | 10324 Moonflower Ct, Cincinnati, OH 45251-1105 | 2020-09-30 |
| 1427663525 | Marcia Trimble | Licensed Practical Nurse | 7860 Sequoia Ct, Cincinnati, OH 45239-4531 | 2020-09-15 |
| 1104431212 | Alona R King | Licensed Practical Nurse | 2347 Hiddenmeadows Dr, Cincinnati, OH 45231-1400 | 2020-09-15 |
| 1407461718 | Alexandra Younger | Licensed Practical Nurse | 1730 Beacon St Apt 4, Cincinnati, OH 45230-2033 | 2020-09-14 |
| 1801400098 | Princie Dunn | Licensed Practical Nurse | 1705 Norcol Ln, Cincinnati, OH 45231-5225 | 2020-09-03 |
| 1568074235 | Lakeda Thomas | Licensed Practical Nurse | 3028 Kerper Ave, Cincinnati, OH 45206-1034 | 2020-08-23 |
| 1902418528 | Lakisha Griffin | Licensed Practical Nurse | 124 Baker Ave, Cincinnati, OH 45217-1245 | 2020-08-17 |
| 1891306841 | D'angela A Barnes | Licensed Practical Nurse | 804 Considine Ave, Cincinnati, OH 45205-2338 | 2020-08-13 |
| 1063022721 | Ashley Foster | Licensed Practical Nurse | 6393 Oakcreek Dr, Cincinnati, OH 45247-5004 | 2020-08-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45239 |
Please comment or provide details below to improve the information on MS. KENGORE BEATRICA JACKSON.
| 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.