ASHLEY ROCHELLE JACKSON (NPI# 1740751825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740751825 |
| Entity Type | Individual |
| Full Name | ASHLEY ROCHELLE JACKSON |
| Practice Address |
6321 New Utrecht Ave Fl 2 Brooklyn NY 11219-5425 |
| Mailing Address |
10416 223rd St Queens Village NY 11429-2157 |
| Practice Telephone | 2126877464 |
| Practice Fax Number | 7187991049 |
| Mailing Telephone | 3472933119 |
| Mailing Fax Number | 7187991049 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 655416 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629466313 | Ashley Jackson | Marriage & Family Therapist | 3785 Town Square Cir Nw, Kennesaw, GA 30144-2377 | 2015-01-02 |
| 1649542911 | Ashley Jackson | Social Worker | 34 Halborn St, Boston, MA 02126-2313 | 2012-02-02 |
| 1245381318 | Ashley Jackson | Marriage & Family Therapist | 1001 Needham St, Modesto, CA 95354-0730 | 2007-01-16 |
| 1770596744 | Ashley R Jackson | Dentist | 123 W Grove St, El Dorado, AR 71730-4608 | 2006-08-14 |
| 1255939062 | Ashley Jackson | Technician | 1 Avenue C Ste 102, Madison, WV 25130-1100 | 2020-10-14 |
| 1326656612 | Ashley Marie Jackson | Nurse Practitioner | 1601 Center St, Mobile, AL 36604-1541 | 2020-07-22 |
| 1093357097 | Ashley Jackson | Case Manager/Care Coordinator | 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 | 2019-10-10 |
| 1740838523 | Ashley Denae Jackson | Pharmacist | 169 W Lancaster Ave, Ardmore, PA 19003-1401 | 2019-08-26 |
| 1215583745 | Ashley Jackson | Home Health | 1409 Washington Ave Ste 207, Saint Louis, MO 63103-1936 | 2019-08-12 |
| 1932752102 | Ashley D Jackson | Nurse Practitioner | 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526 | 2019-07-17 |
| Street Address |
6321 NEW UTRECHT AVE FL 2 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111912 | Elaine Scott | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-01 |
| 1528530250 | Tandi Mitchell | Registered Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-12-19 |
| 1033680061 | Funmi Soda | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-12-17 |
| 1235600297 | Tara Anderson | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-12-16 |
| 1336618057 | Nicole Oliver | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-26 |
| 1821568585 | Amy Xie | Licensed Practical Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-26 |
| 1497223036 | Abigail Ali Musah | Registered Nurse | 6321 New Utrecht Ave Fl 2, Brooklyn, NY 11219-5425 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| 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 |
|---|---|---|---|---|
| 1952901456 | Raven Nichole Bagy | Licensed Practical Nurse | 45 Twin Pines Dr Apt 10a, Brooklyn, NY 11239-1804 | 2020-10-26 |
| 1982203998 | Troy Conliffe | Licensed Practical Nurse | 180 E 17th St, Brooklyn, NY 11226-4668 | 2020-10-21 |
| 1588263883 | Kimberley Wiltshire | Licensed Practical Nurse | 1336 President St, Brooklyn, NY 11213-4238 | 2020-10-19 |
| 1053919639 | Elna Remy | Licensed Practical Nurse | 1639 Hendrickson St, Brooklyn, NY 11234-4315 | 2020-10-15 |
| 1518565183 | Tamara Jessica Lawrence | Licensed Practical Nurse | 1482 Lincoln Pl Apt 7, Brooklyn, NY 11213-4137 | 2020-10-15 |
| 1740896414 | Sarahbeth Boyd | Licensed Practical Nurse | 196 Rockaway Pkwy, Brooklyn, NY 11212-3400 | 2020-09-18 |
| 1205441540 | Ademola Ojo-adesoye | Licensed Practical Nurse | 381 Milford St, Brooklyn, NY 11208-3853 | 2020-09-14 |
| 1366057614 | Jacqueline Bourdeau | Licensed Practical Nurse | 2415 Newkirk Ave, Brooklyn, NY 11226-7622 | 2020-09-14 |
| 1194339572 | Elveta Bamberry | Licensed Practical Nurse | 596 E 87th St, Brooklyn, NY 11236-3229 | 2020-09-03 |
| 1508479650 | Ivrance Petigny | Licensed Practical Nurse | 8419 Avenue N, Brooklyn, NY 11236-5109 | 2020-08-28 |
| Find all providers in BROOKLYN | ||||
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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.