MARILYN LOOMIS (NPI# 1356734297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356734297 |
| Entity Type | Individual |
| Full Name | MARILYN LOOMIS |
| Practice Address |
141 N Jackson St Jackson MI 49201-1201 |
| Mailing Address |
7422 S Ardmore Ln Jackson MI 49201-8049 |
| Practice Telephone | 5173955938 |
| Mailing Telephone | 5173955938 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
4703083569 | MI | Nursing Service Related Providers |
| Street Address |
141 N JACKSON ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1154922789 | Linda Vaughn | Technician | 5433 State Route 139, Jackson, OH 45640-9271 | 2020-11-02 |
| 1790385193 | Theresa Rouse | Technician | 640 Cutlip Rd, Jackson, OH 45640-9451 | 2020-10-27 |
| 1871190777 | Sandra Kay Dempsey | Technician | 110 Morton St, Jackson, OH 45640-1335 | 2020-10-04 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1164063376 | Reginald Lumpkin | Technician | 1160 Joanne St Apt 108, Jackson, MS 39204-5253 | 2019-09-30 |
| 1770098295 | Angelica Ross | Technician | 128 Devonshire Sq, Jackson, TN 38305-2229 | 2017-12-06 |
| 1972032159 | Sherice Shunta Stutts-walker | Technician | 6451 Homewood Cir, Jackson, MS 39213-7814 | 2017-06-09 |
| 1689114233 | Peggy Clayborne | Technician | 219 Ford Ave, Jackson, MS 39209-3322 | 2017-03-01 |
| 1669857363 | Marvina Wright | Technician | 5512 N Silverton St, Jackson, SC 29831-3170 | 2015-07-22 |
| 1104210657 | Lorrine Mayes | Technician | 2741 Teresa Dr, Jackson, MS 39212-2758 | 2015-03-23 |
| 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.