PATRICK R JACKMAN


Address: 548 N 1100 E, Washington, UT 84780-2980
Phone: 4352754458

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 548 N 1100 E
City WASHINGTON
State UT
Zip Code 84780-2980

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WASHINGTON
Zip Code 84780

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Dataset Information

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.

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