PATRICE M JACKSON-WEATHERS (NPI# 1407236045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407236045 |
| Entity Type | Individual |
| Full Name | PATRICE M JACKSON-WEATHERS |
| Credential | CNA |
| Practice Address |
325 Willow Ridge Way Avondale Estates GA 30002-1284 |
| Mailing Address |
15 Franklin St Unit 736 Avondale Estates GA 30002-0906 |
| Practice Telephone | 6787240304 |
| Mailing Telephone | 6787240304 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | 560249 | SC | Nursing Service Related Providers |
| Y | 376K00000X | Nurse's Aide | CN0014212008 | GA | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 344541 | WI | Nursing Service Related Providers |
| Street Address |
325 WILLOW RIDGE WAY |
| City | AVONDALE ESTATES |
| State | GA |
| Zip Code | 30002-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659720209 | Diamonds Hands Family Home LLC | Home Health | 325 Willow Ridge Way, Avondale Estates, GA 30002-1284 | 2016-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891273561 | Barbara S. Fisher | Psychologist | 541 Stratford Green, Auordale Est, GA 30002 | 2018-08-03 |
| 1992210587 | Firefly Wellness Counseling, LLC | Counselor | 151 Locust St, Avondale Estates, GA 30002 | 2017-12-05 |
| 1528310455 | Katherine Alberta Brown | Social Worker | 151 Locust St, Avondale Estates, GA 30002 | 2012-10-02 |
| 1194009811 | Anne Rice | Counselor | 151 Locust St, Avondale Estates, GA 30002 | 2011-09-29 |
| 1033499884 | Lauren Shemain | Social Worker | 151 Locust St, Avondale Estates, GA 30002-1050 | 2011-08-25 |
| 1063034643 | Generational Resources LLC | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-05-17 |
| 1508492893 | Charles Joseph Westbrook | Counselor | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-03-18 |
| 1477193068 | Bee Good Wellness and Consulting Services | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-10 |
| 1477193050 | Vivian Daniel Counseling LLC | Clinic/Center | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-10 |
| 1003455338 | Vivian Daniel | Counselor | 151 Locust St, Avondale Estates, GA 30002-1050 | 2020-01-03 |
| Find all providers in zip 30002 | ||||
| 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 |
|---|---|---|---|---|
| 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 | AVONDALE ESTATES |
| Zip Code | 30002 |
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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.