TERESA WACKUS (NPI# 1467883926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467883926 |
| Entity Type | Individual |
| Full Name | TERESA WACKUS |
| Credential | MA |
| Practice Address |
3300 Lansing Ave Jackson MI 49202-1621 |
| Practice Telephone | 5177842929 |
| Practice Fax Number | 5177843030 |
| Mailing Telephone | 5177842929 |
| Mailing Fax Number | 5177843030 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address |
3300 LANSING AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629101829 | Victory Clinical Services IIi LLC | Clinic/Center | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2007-03-14 |
| 1780290023 | Ashley D Oredsen | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2020-09-22 |
| 1932715976 | Amber Sims | Case Manager/Care Coordinator | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2020-09-16 |
| 1104470640 | Carrie Ann Miller | Social Worker | 3300 Lansing Ave, Jackson, MI 49202 | 2019-08-01 |
| 1568921153 | Madison Apperson | Case Manager/Care Coordinator | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2019-03-14 |
| 1164997672 | Jan Walker | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-10-11 |
| 1467934521 | Lisa Lynn Jarrell | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-09-05 |
| 1750862561 | Julie Ann Hesterman | Social Worker | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-08-29 |
| 1154817922 | Jeanie Roberts | Counselor | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-07-05 |
| 1386148914 | Matthew Reader | Counselor | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1851947584 | Valencia L Vaughn | Nurse's Aide | 5846 Ridgewood Rd Ste C101, Jackson, MS 39211-2646 | 2019-08-19 |
| 1225582414 | Leatrice Carmichael | Nurse's Aide | 220 Edgewood Terrace Dr, P22, Jackson, MS 39206-5026 | 2016-08-05 |
| 1639534308 | Calretha Mabry | Nurse's Aide | 18 Walnut Creek Dr, Jackson, TN 38305-6469 | 2015-12-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1245660265 | Latoya Williams | Nurse's Aide | 4111 Warner Ave, Jackson, MS 39213-5404 | 2013-11-13 |
| 1518391085 | Shirree Shinellec Holliday | Nurse's Aide | 248 N Fairgrounds St, Jackson, TN 38301-5130 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770696 | Bianca Lewis | Nurse's Aide | 18126 Brinker St, Detroit, MI 48234-1500 | 2020-11-05 |
| 1396342259 | Angela E Collins | Nurse's Aide | 143 Cliff St, Battle Creek, MI 49014-5003 | 2020-10-05 |
| 1811500085 | Karla J Jackson | Nurse's Aide | 11832 Dwyer St, Detroit, MI 48212-2520 | 2020-08-27 |
| 1336751833 | Lawreese Deshan Smith | Nurse's Aide | 16242 Manor St, Detroit, MI 48221-2859 | 2020-08-18 |
| 1417569740 | Valerie Ellis | Nurse's Aide | 6871 Longacre St, Detroit, MI 48228-4700 | 2020-08-18 |
| 1942833132 | Kelly Jo Diaz | Nurse's Aide | 4922 Port Sheldon St, Hudsonville, MI 49426-8927 | 2020-02-17 |
| 1588207484 | Thomas A Frank | Nurse's Aide | 24389 Buchanan Ct Apt 1930, Farmington Hills, MI 48335-2150 | 2019-10-23 |
| 1689228249 | Brandi Oliphant | Nurse's Aide | 2163 Forest Rd, Lansing, MI 48910-3770 | 2019-07-31 |
| 1639722572 | Marcy Gibson-dolford | Nurse's Aide | 30987 Stone Ridge Dr Apt 1307, Wixom, MI 48393-3896 | 2019-07-19 |
| 1063064947 | Kasandra M Causey | Nurse's Aide | 1529 Bancroft St, Cheboygan, MI 49721-1301 | 2019-07-11 |
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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.