MRS. BRENDA RENE JACKSON (NPI# 1578972600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578972600 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA RENE JACKSON |
| Practice Address |
1555 E Flamingo Rd Ste. # 158 Las Vegas NV 89119-5258 |
| Practice Telephone | 7023859097 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 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 |
| 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 |
1555 E FLAMINGO RD STE. # 158 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184693962 | Sharon Brenda Landers | Internal Medicine | 1555 E Flamingo Rd, Las Vegas, NV 89119-5261 | 2006-03-15 |
| 1811443062 | Maureen Kelly | Counselor | 1555 E Flamingo Rd, Suite 158, Las Vegas, NV 89119-5258 | 2016-08-28 |
| 1407210719 | Charlotte Toder | Counselor | 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 | 2016-04-12 |
| 1710364732 | Chakyra Smith-olson | Counselor | 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 | 2015-04-28 |
| 1720475387 | Wellness, Redemption, & Rehabilitation Program (wrrp), Inc. | Voluntary or Charitable | 1555 E Flamingo Rd, 158, Las Vegas, NV 89119-5258 | 2015-04-22 |
| 1457747651 | Necole Smith | Counselor | 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 | 2015-04-14 |
| 1265828263 | Summer Easley | Counselor | 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 | 2015-04-07 |
| 1992197529 | Jade-lee Maisano | Counselor | 1555 E Flamingo Rd, #158, Las Vegas, NV 89119-5258 | 2015-02-18 |
| 1760873095 | Nanette Angelique Otis | Counselor | 1555 E Flamingo Rd, 158, Las Vegas, NV 89119-9305 | 2015-02-09 |
| 1528459971 | Carmen Newton | Counselor | 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 | 2015-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| Find all providers in LAS VEGAS | ||||
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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.