CANITRA JACKSON


Address: 3508 Far West Blvd Ste 130, Austin, TX 78731-3081
Phone: 5128283990

CANITRA JACKSON (NPI# 1689203812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689203812
Entity Type Individual
Full Name CANITRA JACKSON
Practice Address 3508 Far West Blvd Ste 130
Austin
TX 78731-3081
Practice Telephone 5128283990
Mailing Telephone 5128283990
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 350212 TX Nursing Service Providers

Office Location

Street Address 3508 FAR WEST BLVD STE 130
City AUSTIN
State TX
Zip Code 78731-3081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144707613 Adrienne Blau Speech-Language Pathologist 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2018-07-26
1891303947 Chassie Nicole Moore Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-07-15
1649893215 Chijindu Chichi Ndubisi Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-05-18
1427670967 Emily H Spearman Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-05-07
1932729605 Page Marshall Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-04-22
1891324067 Heather Kay Joslin Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-04-08
1285262139 Lara Nicole Mackintosh Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-03-27
1093349128 Patricia C Rico Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-02-27
1487286852 Gwendolyn Ruth Agbatekwe Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2020-02-04
1487292108 Lisa Ann Garlanger Registered Nurse 3508 Far West Blvd Ste 130, Austin, TX 78731-3081 2019-12-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710892 Anew Era Tms & Psychiatry of Texas, Pa Psychiatry & Neurology 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 2020-11-06
1962016519 Jennie Rose Posey Clinical Nurse Specialist 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 2020-09-01
1437772373 Sharon Polackal Student in an Organized Health Care Education/Training Program Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 2020-05-27
1699309773 Modern Vision Group, Pllc Optometrist 3908 Far W Blvd, Austin, TX 78731 2020-02-27
1235699562 Catherine Kerrigan Social Worker 7514 N Mopac Expy, Suite 100, Austin, TX 78731 2019-03-22
1912474651 Austin Dental Spa, Pllc Dentist 3305 Northland Ste 515, Austin, TX 78731 2018-10-31
1982110938 Lindsey Sheppard Dietitian, Registered 7000 N Mopac Expy, Suite 200, Austin, TX 78731 2017-12-28
1144746066 Sarah Cotton Occupational Therapist 3520 Executive Center Drive, Suite 128, Austin, TX 78731 2017-08-22
1699299792 Avoia Mia Tapia Physical Therapist 3721 Executive Center Drive, Suite 201, Austin, TX 78731 2017-07-31
1265889745 Home Focus Aba Behavioral Analyst 6804 Capital of Tx Hwy N 412, Austin, TX 78731 2016-05-16
Find all providers in zip 78731

Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598393308 Yahira Aleman Licensed Vocational Nurse 10705 Casitas Dr, Austin, TX 78717-3872 2020-03-28
1245882810 Shirley Jean Graves Licensed Vocational Nurse 401 S Park Dr, Austin, TX 78704-6346 2019-07-12
1457810558 Bianca Danielle Brown Licensed Vocational Nurse 810 E Slaughter Ln Apt 11204, Austin, TX 78744-2139 2019-03-18
1174097059 Amy Lynn Macafee Licensed Vocational Nurse 3737 Executive Center Dr Ste 250, Austin, TX 78731-1640 2019-01-14
1326513664 Joseph Guptil Connors IIi Licensed Vocational Nurse 7409 Cedar Edge Dr, Austin, TX 78744-1705 2018-10-12
1881179240 Clara Luz Loza Licensed Vocational Nurse 1165 Airport Blvd Fl 2, Austin, TX 78702-3152 2018-10-01
1922581693 Beauty Uzoma Achonye Licensed Vocational Nurse 11024 Cairnhill Ct, Austin, TX 78754-2162 2018-09-10
1750862629 Purity Thande Nash Licensed Vocational Nurse 11312 Barns Trl, Austin, TX 78754-6049 2018-08-28
1801377791 Claudia Yanira Mireles Licensed Vocational Nurse 12041 Dessau Rd Apt 809, Austin, TX 78754-1710 2018-08-28
1720569635 Shari Wright Licensed Vocational Nurse 12349 Metric Blvs # 425, Austin, TX 78758 2018-08-28
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78731

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Dataset Information

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.

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