KNIESHA KATHERINE SCRUGGS (NPI# 1396020608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396020608 |
| Entity Type | Individual |
| Full Name | KNIESHA KATHERINE SCRUGGS |
| Practice Address |
1461 Steele St Jacksonville FL 32209-6263 |
| Mailing Address |
6982 Clearwater Park Ct S Jacksonville FL 32244-7809 |
| Practice Telephone | 9044159228 |
| Mailing Telephone | 9044159228 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
37 | FL | Nursing Service Related Providers |
| Street Address |
1461 STEELE ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739889 | Jill Johnson | Technician | 718 Perryman Ln W, Jacksonville, FL 32221-1543 | 2019-09-19 |
| 1154971471 | Laura Cowan | Technician | 1613 Spring Branch Dr E, Jacksonville, FL 32221-7618 | 2019-09-18 |
| 1457901993 | Edith Corbett | Technician | 3688 Timucua Trl, Jacksonville, FL 32277-2250 | 2019-09-17 |
| 1689224180 | Patricia J Baker | Technician | 1905 Chaffee Rd S, Jacksonville, FL 32221-1861 | 2019-09-17 |
| 1588214092 | Gloria Jean Brewer | Technician | 1242 Spring Creek Ct, Jacksonville, FL 32218-8050 | 2019-09-17 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1336798941 | Nicole Blevins | Technician | 2539 Stern Dr S, Jacksonville, FL 32233-2916 | 2019-09-06 |
| 1033767231 | Carol Lynn Holder | Technician | 1070 County Road 4101, Jacksonville, TX 75766-0512 | 2019-08-30 |
| 1336796630 | Joyce Valadie Miller | Technician | 131 County Road 1432, Jacksonville, TX 75766-9001 | 2019-08-21 |
| 1073062501 | Veronica Coleman | Technician | 5714 Fort Caroline Rd, Jacksonville, FL 32277-1753 | 2016-09-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on KNIESHA KATHERINE SCRUGGS.
| 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.