ROSHUNDA JACKSON (NPI# 1417560954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417560954 |
| Entity Type | Individual |
| Full Name | ROSHUNDA JACKSON |
| Credential | LVN |
| Practice Address |
5926 Gholson Rd Waco TX 76705-5140 |
| Practice Telephone | 2545237941 |
| Mailing Telephone | 2545237941 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 192596 | TX | Nursing Service Providers |
| Street Address |
5926 GHOLSON RD |
| City | WACO |
| State | TX |
| Zip Code | 76705-5140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860943 | Adam Kyle Spillers | Pharmacist | 1521 I-35 East, Bellmead, TX 76705 | 2020-10-27 |
| 1245849157 | Jonathan Huo | Pharmacist | 801 N I-35, Bellmead, TX 76705 | 2020-07-27 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1285193607 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 510 N Loop 340, Ste E, Bellmead, TX 76705 | 2019-03-15 |
| 1285105585 | Charlotte Robinson | Registered Nurse | 1417 E Loop 340, Waco, TX 76705 | 2018-12-12 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1619494226 | Ariel Rennspies | Physician Assistant | 1135 Tx-340 Loop, Waco, TX 76705 | 2017-08-24 |
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1396131926 | Kate Marie-hall Nelson | Speech-Language Pathologist | 208 Chama Drive, Hewitt, TX 76705 | 2015-04-10 |
| 1366728149 | Marcia Deshazo Carter | Speech-Language Pathologist | 6610 N. Ih 35, Waco, TX 76705 | 2011-10-25 |
| Find all providers in zip 76705 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| 1962038430 | Ysabel Silva | Licensed Vocational Nurse | 625 N 33rd St, Waco, TX 76707-3235 | 2020-03-17 |
| 1497380703 | Jennifer Martinez | Licensed Vocational Nurse | 901 Wooded Acres Dr Apt 961c, Waco, TX 76710-4555 | 2020-03-06 |
| 1528692902 | Steven James Gereghty | Licensed Vocational Nurse | 2525 Charboneau Dr, Waco, TX 76710-1107 | 2020-02-25 |
| 1851931661 | Sharon Smith | Licensed Vocational Nurse | 1207 N 62nd St, Waco, TX 76710-4103 | 2020-01-09 |
| 1659914885 | Amber Mion Lewis | Licensed Vocational Nurse | 5000 Sanger Ave Apt 812, Waco, TX 76710-8725 | 2019-10-21 |
| 1770147068 | Pamela Annette Smith | Licensed Vocational Nurse | 513 N 23rd St, Waco, TX 76707-3423 | 2019-04-23 |
| 1144782848 | Gloria Rogers | Licensed Vocational Nurse | 103 Soaring Eagle, Waco, TX 76705-3902 | 2019-04-02 |
| 1831657220 | Robbie Katherine Pledger | Licensed Vocational Nurse | 817 N 44th St Apt 1801, Waco, TX 76710-4939 | 2019-03-05 |
| Find all providers in WACO | ||||
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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.