SHENIKWA WALLACE-JACKSON (NPI# 1598287187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598287187 |
| Entity Type | Individual |
| Full Name | SHENIKWA WALLACE-JACKSON |
| Practice Address |
177 Daffodil Dr Sw # D102 Palm Bay FL 32908-3329 |
| Practice Telephone | (321) 223-2659 |
| Mailing Telephone | 3212232659 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | FL | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 822161617 | 05 |
| Street Address |
177 DAFFODIL DR SW # D102 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32908-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043663537 | Milena Tellechea Casanueva | Registered Nurse | 761 Santo Domingo Ave Sw, Palm Bay, FL 32908 | 2016-07-19 |
| 1023351996 | Zion's Assisted Living Facility, Inc. | Assisted Living Facility | 2029 Jupiter Blvd Sw, Palm Bay, FL 32908 | 2013-03-29 |
| 1710267364 | Laurie Kay Bailey | Massage Therapist | 3098 Cambria Avenue, Palm Bay, FL 32908 | 2011-08-26 |
| 1689797946 | Fritz Delmont | Licensed Practical Nurse | 3056 Ferdon Ave, Palm Bay, FL 32908 | 2007-04-09 |
| 1801340732 | Trinity Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1590 La Maderia Dr Sw, Palm Bay, FL 32908-1100 | 2016-08-09 |
| 1326354606 | Merlyn Labrador | Marriage & Family Therapist | 1500 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-25 |
| 1245544303 | Matthew M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-07-31 |
| 1780999284 | Colleen M Fisher | Massage Therapist | 1570 Las Palmos Dr Sw, Palm Bay, FL 32908-1120 | 2010-08-10 |
| 1922271220 | Marrilyn K Tennyson | Occupational Therapist | 1700 Las Palmos Dr Sw, Palm Bay, FL 32908-1122 | 2008-04-08 |
| 1528531076 | Al-quiyamah Ghafur Faiz | Counselor | 1606 Sawgrass Dr Sw, Palm Bay, FL 32908-1126 | 2019-01-08 |
| Find all providers in zip 32908 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| 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 |
|---|---|---|---|---|
| 1760993885 | Abba Care for Elders L.l.c | Home Health Aide | 468 Abello Rd Se Bay Fl, Palm Bay, FL 32909-8838 | 2017-10-16 |
| 1407367782 | Sandra Styles | Home Health Aide | 468 Abello Rd Se, Palm Bay, FL 32909-8838 | 2017-10-13 |
| 1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
| 1952639676 | Dora Kay Medsker | Home Health Aide | 821 Eldron Blvd Se, Palm Bay, FL 32909-4494 | 2009-11-19 |
| 1982867495 | Lisa S. Young | Home Health Aide | 433 Del Alto Ave Ne, Palm Bay, FL 32907-2086 | 2008-07-03 |
| 1134381601 | Sandra Allene Brock | Home Health Aide | 101 Twilight St Ne, Palm Bay, FL 32907-1151 | 2008-06-26 |
| 1821550534 | Hands With A Healing Touch | Home Health Aide | 943 Canal Ln Ne, Palm Bay, FL 32905-5501 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305114 | Independent Solution of Central Florida Inc | Home Health Aide | 8517 Sugar Palm Ct, Orlando, FL 32835-8039 | 2020-10-27 |
| 1518566058 | Yarima Coto Armentero | Home Health Aide | 9545 Sw 24th St Apt B201, Miami, FL 33165-8079 | 2020-10-24 |
| 1730788662 | Deandrea Moore | Home Health Aide | 379 Macon Dr, Titusville, FL 32780-9106 | 2020-10-21 |
| 1144829151 | Demetria Denisha Bryant | Home Health Aide | 5503 Eartha Dr, Jacksonville, FL 32209-2141 | 2020-10-21 |
| 1679172001 | Tammy T Williams | Home Health Aide | 1317 Edgewater Dr Ste 2083, Orlando, FL 32804-6350 | 2020-10-17 |
| 1649878661 | Zakila Reid | Home Health Aide | 2915 54th Dr E Unit 204, Bradenton, FL 34203-8432 | 2020-10-12 |
| 1255939385 | Sharon Denise Beeks | Home Health Aide | 1250 Brookwood Forest Blvd Apt 2203, Jacksonville, FL 32225-9073 | 2020-10-12 |
| 1053918482 | Jena Luzanne Williams | Home Health Aide | 12718 Longcrest Dr, Riverview, FL 33579-4001 | 2020-10-08 |
| 1659978187 | Van Tran | Home Health Aide | 4417 E Bennett St, Inverness, FL 34453-3520 | 2020-10-07 |
| 1891302576 | Necole D Daniels | Home Health Aide | 6006 Anderson Rd, Jacksonville, FL 32244-1917 | 2020-09-28 |
| 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.