ANNIE JACKSON (NPI# 1700338712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700338712 |
| Entity Type | Individual |
| Full Name | ANNIE JACKSON |
| Practice Address |
517 E 153rd St Phoenix IL 60426-2308 |
| Practice Telephone | 7085132866 |
| Mailing Telephone | 7085132866 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 043068868 | IL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831409374 | Annie Jackson | Counselor | 4616 Northaven Dr, Charlotte, NC 28206-1730 | 2010-10-18 |
| 1356612543 | Annie Jackson | Physical Therapist | 1525 International Pkwy, Heathrow, FL 32746-7644 | 2012-01-19 |
| 1891839866 | Annie M Jackson | Psychiatry & Neurology | 153 W Court St, Rutherfordton, NC 28139-2804 | 2007-02-16 |
| Street Address |
517 E 153RD ST |
| City | PHOENIX |
| State | IL |
| Zip Code | 60426-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| 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 |
|---|---|---|---|---|
| 1396346557 | Prince Terrence C Woods | Home Health Aide | 15620 N 25th Ave Apt K209, Phoenix, AZ 85023-6514 | 2020-11-04 |
| 1083211288 | Kindred Hearts Assisted Living LLC | Home Health Aide | 530 E Mariposa St Apt 26, Phoenix, AZ 85012-1636 | 2020-10-01 |
| 1518570506 | Ideal Care LLC | Home Health Aide | 4135 N 108th Ave Ste 102, Phoenix, AZ 85037-5462 | 2020-08-28 |
| 1932734803 | Shane Amour Fulton | Home Health Aide | 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911 | 2020-03-11 |
| 1730735796 | Imani Patrice Cannon | Home Health Aide | 7007 W Indian School Rd Apt 2143, Phoenix, AZ 85033-3387 | 2019-08-15 |
| 1841842879 | Jennifer Maxey | Home Health Aide | 1825 E Northern Ave Ste 271, Phoenix, AZ 85020-3949 | 2019-07-10 |
| 1588225874 | Maria D. Sillas | Home Health Aide | 7106 N 35th Ave Ste 205, Phoenix, AZ 85051-8355 | 2019-06-26 |
| 1447714605 | Nohemi Cano Leiva | Home Health Aide | 9035 N 39th Ave, Phoenix, AZ 85051-3320 | 2019-01-22 |
| 1821564303 | Paradise Valley Loving Care | Home Health Aide | 3324 E Oraibi Dr, Phoenix, AZ 85050-3979 | 2018-10-22 |
| 1497267876 | Chidinma Grace Salako | Home Health Aide | 1918 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2017-10-25 |
| Find all providers in PHOENIX | ||||
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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.