SHAYLIE JACKSON (NPI# 1497145189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497145189 |
| Entity Type | Individual |
| Full Name | SHAYLIE JACKSON |
| Practice Address |
525 First Colonial Rd Virginia Beach VA 23451-6119 |
| Practice Telephone | 7574282666 |
| Practice Fax Number | 7574517307 |
| Mailing Telephone | 7574282666 |
| Mailing Fax Number | 7574517307 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 0230023817 | VA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
525 FIRST COLONIAL RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013939792 | Virginia Cvs Pharmacy LLC | Pharmacy | 525 First Colonial Rd, Virginia Beach, VA 23451-6119 | 2006-07-24 |
| 1831573344 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 525 First Colonial Rd, Virginia Beach, VA 23451-6119 | 2015-07-14 |
| 1841681137 | Mark Cammel | Pharmacy Technician | 525 First Colonial Rd, Virginia Beach, VA 23451-6119 | 2015-02-09 |
| 1639569304 | Jennifer Marsh | Technician, Other | 525 First Colonial Rd, Virginia Beach, VA 23451-6119 | 2015-02-02 |
| 1972890820 | Samantha Anne Peyton | Pharmacist | 525 First Colonial Rd, Virginia Beach, VA 23451-6119 | 2011-06-29 |
| 1467747865 | Zoe Anne Layman | Pharmacist | 525 First Colonial Rd, T-1047, Virginia Beach, VA 23451-6119 | 2011-06-14 |
| 1174817084 | Cynthia Frona Becker | Pharmacist | 525 First Colonial Rd, Target 1047, Virginia Beach, VA 23451-6119 | 2011-06-08 |
| 1306130216 | Martin Stephen Messerian | Pharmacist | 525 First Colonial Rd, Target 1047 Pharmacy, Virginia Beach, VA 23451-6119 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619368982 | Laura Ann Mydlowski | Technician, Other | 1605 Bridle Creek Ct, Virginia Beach, VA 23464-8525 | 2015-02-09 |
| 1558572545 | Richard Eugene Clements | Technician, Other | 900 Devastator Run, Virginia Beach, VA 23453-1524 | 2007-05-24 |
| 1437182359 | Christopher Fisher | Technician, Other | 1905 Silver Lake Ct, Virginia Beach, VA 23464-8943 | 2006-07-07 |
| 1659321685 | Bryan Booth | Technician, Other | 456 Marsh Duck Way, Virginia Beach, VA 23451-6557 | 2006-05-11 |
| 1548639503 | Christopher Steven Barber | Technician, Other | 1900 Gator Blvd, Bldg 3808, Virginia Beach, VA 23459-8950 | 2015-09-21 |
| 1639569304 | Jennifer Marsh | Technician, Other | 525 First Colonial Rd, Virginia Beach, VA 23451-6119 | 2015-02-02 |
| 1194061697 | Cara Heinrich | Technician, Other | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2013-01-02 |
| 1225373897 | Linda Willis | Technician, Other | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2012-12-07 |
| 1104083120 | Harriet R. Mccoy | Technician, Other | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2008-05-19 |
| 1255536785 | Elliott Spencer Keck | Technician, Other | 1550 Tomcat Blvd Ste 150, Nas Oceana, Bhc, Virginia Beach, VA 23460-2186 | 2007-06-15 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
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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.