CASSETTA SHONTAE MCGEE (NPI# 1679961957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679961957 |
| Entity Type | Individual |
| Full Name | CASSETTA SHONTAE MCGEE |
| Practice Address |
5326 Queen Eleanor Ln Jackson MS 39209 |
| Mailing Address |
5326 Queen Eleanor Ln Jackson MS 39209-2223 |
| Practice Telephone | 6016683876 |
| Mailing Telephone | 6016683876 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | E3135982 | MS | Emergency Medical Service Providers |
| N | 372500000X | Chore Provider | 69619 | MS | Nursing Service Related Providers |
| N | 372600000X | Adult Companion | 69619 | MS | Nursing Service Related Providers |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
69619 | MS | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 69619 | MS | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 69619 | MS | Nursing Service Related Providers |
| Street Address |
5326 QUEEN ELEANOR LN |
| City | JACKSON |
| State | MS |
| Zip Code | 39209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| 1225287139 | Ralph Wendell Mims | Community Health Worker | 3708 Kennebrew Road, Jackson, MS 39209 | 2008-09-16 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518491257 | Classie Bradford | Emergency Medical Technician, Basic | 810 Valencia St, Jackson, MS 39204-4744 | 2017-04-19 |
| 1033506365 | Jennifer Kalash | Emergency Medical Technician, Basic | 11 Red Cedar Run, Jackson, NJ 08527-1349 | 2015-04-24 |
| 1053717983 | John Siedler Iv | Emergency Medical Technician, Basic | 3 Vassar Ct, Jackson, NJ 08527-2342 | 2014-11-04 |
| 1538491295 | Daniel Bruce Harton | Emergency Medical Technician, Basic | 205 N East Ave, Jackson, MI 49201-1753 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386189074 | William Paul Richards | Emergency Medical Technician, Basic | 2220 China Grove Rd, Vicksburg, MS 39180-7709 | 2017-01-04 |
| 1386061778 | Katherine Soldevila | Emergency Medical Technician, Basic | 830 South Glosser Street, Tupelo, MS 38801 | 2014-03-24 |
| 1679896658 | Bryan Ashley Breland I | Emergency Medical Technician, Basic | 85 App Slade Rd, Hattiesburg, MS 39401-8744 | 2010-03-05 |
| 1669955068 | Eric H Messenger | Emergency Medical Technician, Basic | 711 Poplar St, Clarksdale, MS 38614-4957 | 2018-09-11 |
| 1144592841 | Brandon Wade Saksa | Emergency Medical Technician, Basic | 14115 Fred and Al Key Rd, Kiln, MS 39556-8060 | 2012-01-27 |
| 1881991743 | Sunil Kumar | Emergency Medical Technician, Basic | 921 W Beacon St, Philadelphia, MS 39350-3229 | 2011-02-11 |
| 1356470983 | Vernon A Chase | Emergency Medical Technician, Basic | 176 S Main St, Pontotoc, MS 38863-3311 | 2007-03-02 |
| 1104900968 | Jon Stephen Ashley | Emergency Medical Technician, Basic | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-10-25 |
| 1386728152 | Jeffrey Lee Harden | Emergency Medical Technician, Basic | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-10-25 |
Please comment or provide details below to improve the information on CASSETTA SHONTAE MCGEE.
| 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.