PATRICK R JACKMAN (NPI# 1437668365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437668365 |
Entity Type | Individual |
Full Name | PATRICK R JACKMAN |
Practice Address |
548 N 1100 E Washington UT 84780-2980 |
Mailing Address |
Po Box 911415 St George UT 84791-1415 |
Practice Telephone | 4352754458 |
Practice Fax Number | 4352754407 |
Enumeration Date | 2017-09-22 |
Last Update Date | 2017-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
548 N 1100 E |
City | WASHINGTON |
State | UT |
Zip Code | 84780-2980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154951572 | Autumn Park Assisted Living LLC | Assisted Living Facility | 548 N 1100 E, Washington, UT 84780-2980 | 2020-01-24 |
1487167805 | Autumn Park Inc | Assisted Living Facility | 548 N 1100 E, Washington, UT 84780-2980 | 2017-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
1457549958 | Nancy J Jenkins | Counselor | 3833 South Mitchell Dr, Washington, UT 84780 | 2007-10-09 |
1629274840 | Adam Paul Murie | Chiropractor | 2250 Coral Canyon Blvd. Ste. 202, Washington, UT 84780 | 2007-06-25 |
1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
1407802879 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 915 W Red Cliffs Dr, Washington, UT 84780 | 2006-05-26 |
1578178547 | Signature Home Health St.george, LLC | In Home Supportive Care | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
1033373816 | Stacy Leigh Niemann | Speech-Language Pathologist | 1032 E 100 S, St George, UT 84780 | 2008-07-11 |
1689188799 | Misti Michelle Miller | Massage Therapist | 568 W Telegraph St, Washington, UT 84780-1205 | 2017-11-28 |
1275045080 | Elite Healthcare Southern Utah LLC | Chiropractor | 568 W Telegraph St Ste 4, Washington, UT 84780-1206 | 2017-11-02 |
Find all providers in zip 84780 |
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 |
---|---|---|---|---|
1639778897 | Lynda Butler | Technician | 116 Michigan Ave Ne, Washington, DC 20017-1034 | 2020-10-20 |
1184238016 | Deborah Speight | Technician | 1525 Fort Davis Pl Se, Washington, DC 20020-6027 | 2020-09-08 |
1497366470 | Keya Henderson | Technician | 2308 Green St Se, Washington, DC 20020-7321 | 2020-08-12 |
1962010439 | R'miya Jasmine Robinson | Technician | 3700 9th St Se Apt 1008, Washington, DC 20032-4038 | 2020-07-21 |
1023653896 | Tamara Janet Brooks | Technician | 2771 Langston Pl Se, Washington, DC 20020-3238 | 2019-11-15 |
1598316481 | Katherine Taylor | Technician | 2315 N Market St, Washington, NC 27889-9056 | 2019-09-23 |
1861053589 | Julia Mae Dunkins | Technician | 311 Decatur St Nw, Washington, DC 20011-4709 | 2019-06-24 |
1861963779 | Gregory Michael Terrell Jr. | Technician | 1615 Olive St Ne Apt 1, Washington, DC 20019-2738 | 2018-12-17 |
1750852463 | Nadine Jackson | Technician | 2545 36th St Se, Washington, DC 20020-1215 | 2018-12-07 |
1215412564 | Robert Boone | Technician | 1200 Delaware Ave Sw Apt 11, Washington, DC 20024-3900 | 2018-10-02 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 84780 |
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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.