AMANDA JACKSON (NPI# 1629609748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629609748 |
| Entity Type | Individual |
| Full Name | AMANDA JACKSON |
| Credential | QMHS 3YRS CMS |
| Practice Address |
401 Tuscarawas St W Ste 501 Canton OH 44702-2045 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | OH | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1730692765 | Amanda Lyn Jackson | Occupational Therapist | 2222 S Rockport Rd, Boonville, IN 47601-7926 | 2017-11-13 |
| 1982143467 | Amanda Jackson | Occupational Therapist | 5305 Reserve Dr Ne, Brookhaven, GA 30319-5924 | 2017-02-17 |
| 1528309473 | Amanda Nicole Jackson | Licensed Practical Nurse | 923 Cottage Ave, Miamisburg, OH 45342-1805 | 2013-03-01 |
| 1013254887 | Amanda Meister Jackson | Pharmacist | 10358 Riverside Dr Ste 140, Palm Beach Gardens, FL 33410-4203 | 2013-01-13 |
| 1285905240 | Amanda Jackson | Occupational Therapist | 1760 Turning Leaf Trl, Haughton, LA 71037-9531 | 2012-01-23 |
| 1245368661 | Amanda L Jackson | Physical Therapist | 17 Carlton Rd, Hutchinson, KS 67502-4423 | 2007-02-28 |
| 1861452112 | Amanda Elizabeth Jackson | Occupational Therapist | 121 Cox St, Benton, AR 72015-4611 | 2006-03-23 |
| 1437763638 | Amanda Jackson | Pharmacist | 7301 Theodore Dawes Rd, Theodore, AL 36582-4029 | 2020-09-04 |
| 1205460045 | Amanda Jackson | Registered Nurse | 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 | 2020-03-02 |
| Street Address |
401 TUSCARAWAS ST W STE 501 |
| City | CANTON |
| State | OH |
| Zip Code | 44702-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942602164 | Erin D Heid | Counselor | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2014-09-18 |
| 1902407513 | Jetaiya Smith | Community Health Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-11-02 |
| 1427656354 | Aaron Schreffler | Peer Specialist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-10-13 |
| 1568069029 | Brandon Covey | Counselor | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-10-07 |
| 1518570464 | Mya Clemons | Community Health Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-08-28 |
| 1841824273 | Melissa Allison | Community Health Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-02-25 |
| 1659922797 | Emma Campbell | Case Management | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2019-09-20 |
| 1063069995 | Melissa Marie Manthei | Counselor | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2019-08-26 |
| 1629625496 | Shaylise Monea Randle | Counselor | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2019-08-26 |
| 1417504598 | Hailey Adams | Community Health Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| 1427550680 | Lydia Kate Saylor | Counselor | 624 Market Ave N, Canton, OH 44702 | 2018-03-05 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370884 | Renee E Salter | Community Health Worker | 3620 35th St Ne, Canton, OH 44705-4306 | 2020-09-13 |
| 1215467311 | Draya K Ellis | Community Health Worker | 408 9th Street Sw, Canton, OH 44707 | 2017-06-13 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1144767906 | Theresa A Jackson | Community Health Worker | 3112 33rd St Ne, Canton, OH 44705-3869 | 2017-01-31 |
| 1578938361 | Lorna Beech Tomlinson | Community Health Worker | 621 Ridge Cir, Canton, GA 30114-9599 | 2015-12-06 |
| 1033584974 | Nadine Jodesty | Community Health Worker | 260 Springs Xing, Canton, GA 30114-8852 | 2015-12-03 |
| 1710352711 | Glendora Garner I | Community Health Worker | 1102 Tiffany Ln, Canton, GA 30114-2556 | 2015-12-02 |
| 1851766950 | Connie Reddin | Community Health Worker | 2180 Sam Nelson Rd, Canton, GA 30114-5226 | 2015-12-01 |
| 1710352893 | S Hudson | Community Health Worker | 119 Holly Mill Village Dr, Canton, GA 30114-7175 | 2015-12-01 |
| 1427460542 | Lisa Garlando | Community Health Worker | 3719 Middlebranch Ave Ne, Canton, OH 44705-5021 | 2014-05-22 |
| Find all providers in CANTON | ||||
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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.