MRS. BRENDA JEAN JACKSON (NPI# 1538653498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538653498 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA JEAN JACKSON |
| Practice Address |
807 Dillon Ave New Aiken SC 29801 |
| Practice Telephone | 7067261531 |
| Mailing Telephone | 7067261531 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225349 | Brenda Lee Jackson | Nurse Practitioner | 757 W Eisenhower Rd, Lansing, KS 66043-2215 | 2015-01-13 |
| 1467631556 | Brenda Sue Jackson | Case Manager/Care Coordinator | 2508 S.e. 20th, Bentonville, AR 72712 | 2007-10-25 |
| 1588179501 | Brenda Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2017-12-13 |
| 1083060610 | Brenda L.e. Jackson | Occupational Therapist | 601 W Leota St, North Platte, NE 69101-6525 | 2016-05-12 |
| 1578972600 | Brenda Rene Jackson | Counselor | 1555 E Flamingo Rd, Ste. # 158, Las Vegas, NV 89119-5258 | 2014-08-01 |
| 1538509526 | Brenda Jackson | Behavioral Analyst | 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 | 2013-07-05 |
| 1215372644 | Brenda Lee Jackson | Registered Nurse | 530 Hornady Dr, Monroeville, AL 36460-8658 | 2013-04-29 |
| 1326273707 | Brenda Ann Jackson | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2009-05-28 |
| 1336295286 | Brenda A L Jackson | Nurse Practitioner | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 | 2007-01-25 |
| 1922042951 | Brenda D Jackson | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2006-06-16 |
| Street Address |
807 DILLON AVE |
| City | NEW AIKEN |
| State | SC |
| Zip Code | 29801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| 1629406384 | Usrc North Aiken, LLC | Clinic/Center | 208 University Parkway, Suite 208, Aiken, SC 29801 | 2013-10-16 |
| Find all providers in zip 29801 | ||||
| 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 |
|---|---|---|---|---|
| 1013521236 | Lasonya Eady | Technician | 6 Wright Pl, Hilton Head, SC 29926-1291 | 2020-09-04 |
| 1891304549 | Emma Lorraine Richardson | Technician | 1497 Woodview Ln, Charleston, SC 29412-8137 | 2020-07-29 |
| 1609494574 | Pamela Mae Byrd | Technician | 1526 Brookstone Dr, Graniteville, SC 29829-3903 | 2020-07-08 |
| 1780206847 | Mary Kiele | Technician | 1131 Woodrow Ln, Loris, SC 29569-6062 | 2020-05-12 |
| 1841810504 | Jaunett James | Technician | 181 Training Rd, Eutawville, SC 29048-9133 | 2020-04-23 |
| 1407485055 | Nancy Bloodsworth | Technician | 5364 Birdie Ln, Hollywood, SC 29449-6292 | 2020-04-06 |
| 1891323580 | Cynthia Phillips | Technician | 1411 Orange Cir, Florence, SC 29506-6315 | 2020-03-30 |
| 1417582099 | Cheryl Ducos | Technician | 230 Lakeview Cir, Woodruff, SC 29388-9336 | 2020-03-04 |
| 1851926422 | Linda Powers | Technician | 2857 Old Charleston Rd, Gilbert, SC 29054-8911 | 2020-03-04 |
| 1053945915 | Daisy Mocks | Technician | 640 Toms Creek Rd, Hopkins, SC 29061-9200 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
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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.