MRS. CHITAQUA JACKSON (NPI# 1659774438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659774438 |
| Entity Type | Individual |
| Full Name | MRS. CHITAQUA JACKSON |
| Credential | LPN |
| Practice Address |
860 Broadway Ave Bedford OH 44146 |
| Practice Telephone | 4122256763 |
| Mailing Telephone | 4122256763 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN155941 | OH | Nursing Service Providers |
| Street Address |
860 BROADWAY AVE |
| City | BEDFORD |
| State | OH |
| Zip Code | 44146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959629 | Donna Stevens | Counselor | 855 Lincoln Blvd, Bedford, OH 44146 | 2019-02-27 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 1609357276 | Laylah Allen | Community Health Worker | 91 Forest Dr, Bedford, OH 44146 | 2018-08-22 |
| 1427577782 | Katrina Allen | Social Worker | 6118 Eaton Ct., Bedford Hts, OH 44146 | 2017-09-18 |
| 1538686878 | Stephanie Frankel | Registered Nurse | 26364 Bluebird Cove, Bedford, OH 44146 | 2017-08-28 |
| 1790206738 | Agape Home Health Agency | Home Health | 50 Woodrow Avenue, Bedford, OH 44146 | 2017-06-29 |
| 1609300060 | Carlesha Embrey | Home Health Aide | 6269 Sparrowhawk Way, Bedford, OH 44146 | 2017-04-12 |
| 1548627987 | Nicolette Walker | Licensed Practical Nurse | 91 Thames Avenue, Bedford, OH 44146 | 2016-01-15 |
| 1992189872 | B-trice Home Health Agency LLC | Home Health | 5311 Northfield Road, Suite 202, Bedford, OH 44146 | 2015-07-10 |
| 1104235423 | Foundational Counseling Services, LLC | Community/Behavioral Health | 5333 Northfield Rd Ste 250, Bedford Heights, OH 44146 | 2014-08-12 |
| Find all providers in zip 44146 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1033624986 | Coti Seneira Bynes | Licensed Practical Nurse | 10 Dewhurst Ave, Bedford, OH 44146-2010 | 2017-12-13 |
| 1760993539 | Nicole Joann Taylor | Licensed Practical Nurse | 262 Marion Dr, Bedford, OH 44146-2850 | 2017-10-19 |
| 1487194619 | Charlotte Lee | Licensed Practical Nurse | 254 Columbus St, Bedford, OH 44146-2840 | 2017-03-07 |
| 1306389630 | Brandy Mcbride | Licensed Practical Nurse | 450 Center Rd, Bedford, OH 44146-2224 | 2016-11-18 |
| 1952764078 | John Mitchell Iv | Licensed Practical Nurse | 185 Greencroft Rd, Bedford, OH 44146-2064 | 2016-04-05 |
| 1083071963 | Keonna Robinson | Licensed Practical Nurse | 195 Gould Ave, Bedford, OH 44146-2611 | 2016-01-22 |
| 1548627987 | Nicolette Walker | Licensed Practical Nurse | 91 Thames Avenue, Bedford, OH 44146 | 2016-01-15 |
| 1497129548 | Alexis Alexander | Licensed Practical Nurse | 30 Northfield Rd, 211, Bedford, OH 44146-4660 | 2015-11-29 |
| 1336552538 | Patrice Wells | Licensed Practical Nurse | 789 Lincoln Blvd, Bedford, OH 44146-3739 | 2014-06-04 |
| 1326306069 | Raquel Davis | Licensed Practical Nurse | 850 Broadway Ave, Apt 303, Bedford, OH 44146-3643 | 2012-05-01 |
| Find all providers in BEDFORD | ||||
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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.