MRS. BRITTANY JACKSON (NPI# 1467923458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467923458 |
| Entity Type | Individual |
| Full Name | MRS. BRITTANY JACKSON |
| Credential | LPN |
| Practice Address |
1639 Bruce Smith Pkwy West Plains MO 65775-7691 |
| Mailing Address |
806 Bryan St Willow Springs MO 65793-3475 |
| Practice Telephone | 4172571833 |
| Practice Fax Number | 4172560488 |
| Mailing Telephone | 4175050778 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2013001693 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958146 | Brittany L Jackson | Midwife | 1619 Dayton Ave Ste 109, Saint Paul, MN 55104-6276 | 2020-06-26 |
| 1992355184 | Brittany Jackson | Social Worker | 1525 Sudbury Ln Apt D, Fairborn, OH 45324-6542 | 2019-09-19 |
| 1265911259 | Brittany M Jackson | Case Manager/Care Coordinator | 908 Jeston Dr, Natchitoches, LA 71457-5908 | 2018-08-09 |
| 1033619606 | Brittany Shea Jackson | Speech-Language Pathologist | 1113 Ridgecrest Cir, Denton, TX 76205-5419 | 2018-02-20 |
| 1487189841 | Brittany Jackson | Counselor | 6210 Glen Echo Dr, Baton Rouge, LA 70812-1737 | 2017-04-24 |
| 1578917258 | Brittany Jackson | Home Health Aide | 5712 Adolpha Ave, Cleveland, OH 44127-1713 | 2016-04-19 |
| 1962825133 | Brittany Jackson | Behavioral Analyst | 464 Common St Ste 106, Belmont, MA 02478-2704 | 2014-01-24 |
| 1376971457 | Brittany Jackson | Physician Assistant | 1404 Palm Ter, Pasadena, CA 91104-5032 | 2013-10-28 |
| 1427679521 | Brittany Elissa Jackson | Behavior Technician | 2400 Se Federal Hwy Ste 220, Stuart, FL 34994-4556 | 2020-04-29 |
| 1346882388 | Brittany Jackson | Behavioral Analyst | 6030 W Oaks Blvd, Rocklin, CA 95765-5491 | 2019-10-10 |
| Street Address |
1639 BRUCE SMITH PKWY |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-7691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164833877 | Bhg Xxviii, LLC | Clinic/Center | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2014-05-15 |
| 1750827028 | Michelle Bryan | Counselor | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2017-01-11 |
| 1053789933 | William Stines | Licensed Practical Nurse | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2015-09-09 |
| 1700272754 | Jennifer Wilkins | Counselor | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2015-04-07 |
| 1558757518 | Crystal Voyles | Licensed Practical Nurse | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2015-04-07 |
| 1881098515 | Tess Margaret Miley | Counselor | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2014-10-09 |
| 1841694585 | Amanda Woodward | Registered Nurse | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2014-10-09 |
| 1750785499 | Melissa Bassham | Registered Nurse | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1548255441 | Dianna L Owen | Licensed Practical Nurse | 2600 Independence Sq, West Plains, MO 65775-4233 | 2005-09-16 |
| 1528513850 | Aleisha Robertson | Licensed Practical Nurse | 3411 Division Dr, West Plains, MO 65775-5789 | 2016-08-16 |
| 1053789933 | William Stines | Licensed Practical Nurse | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2015-09-09 |
| 1558757518 | Crystal Voyles | Licensed Practical Nurse | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2015-04-07 |
| 1851712608 | Malisa Curry | Licensed Practical Nurse | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2013-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190470 | Show Me Care Quality Staffing, Inc. | Licensed Practical Nurse | 711 Old Ballas Rd Ste 220, Creve Coeur, MO 63141-7069 | 2020-10-06 |
| 1609481969 | Kelei Mitchell | Licensed Practical Nurse | 906 Eichelberger St, Saint Louis, MO 63111-1603 | 2020-09-14 |
| 1144832478 | Maryann Partee | Licensed Practical Nurse | 720 Teson Rd, Hazelwood, MO 63042-3334 | 2020-08-18 |
| 1649897547 | Cheryl Vetter | Licensed Practical Nurse | 1034 S Brentwood Blvd Ste 1540, Saint Louis, MO 63117-1229 | 2020-06-26 |
| 1639792203 | Johnny Dell Huffman | Licensed Practical Nurse | 13834 Parks Steed Dr, Earth City, MO 63045-1405 | 2020-05-18 |
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1619515236 | Sherri Mcmeans | Licensed Practical Nurse | 1098 Ne Independence Ave, Lees Summit, MO 64086-5218 | 2019-12-13 |
| 1538703020 | Gregory Charles Womack Sr. | Licensed Practical Nurse | 4929 Wise Ave, Saint Louis, MO 63110-1418 | 2019-10-29 |
| 1437790227 | Prestige Home Health Care L.l.c | Licensed Practical Nurse | 1428 S Pearl St, Independence, MO 64055-1430 | 2019-10-02 |
| 1871140293 | Teresa Ann Warfield | Licensed Practical Nurse | 104 Bartley Ln, Fulton, MO 65251-2139 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.