RANDY JACKSON (NPI# 1750807442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750807442 |
| Entity Type | Individual |
| Full Name | RANDY JACKSON |
| Practice Address |
9837 E Natal Ave Mesa AZ 85209-2588 |
| Mailing Address |
Po Box 52588 Mesa AZ 85208-0130 |
| Practice Telephone | 4807507185 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470719 | Randy Jackson | Nurse Anesthetist, Certified Registered | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2020-06-02 |
| 1437681301 | Randy Jackson Jr. | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Room 2234, Saint Louis, MO 63117-1811 | 2017-03-30 |
| 1689832768 | Randy Alan Jackson | Internal Medicine | 2602 Saint Michael Dr, Suite 205, Texarkana, TX 75503-2387 | 2008-05-27 |
| 1518184282 | Randy Jackson | Registered Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-04-20 |
| 1770662967 | Randy Jackson | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2006-11-06 |
| 1629010707 | Randy H Jackson | Physician Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2006-06-12 |
| 1508825357 | Randy D Jackson | Physician Assistant | 200 Somerset St, Suite 2, Millinocket, ME 04462-1258 | 2006-03-21 |
| Street Address |
9837 E NATAL AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85209-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679017511 | Integri Homecare, LLC | In Home Supportive Care | 9837 E Natal Ave, Mesa, AZ 85209-2588 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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 |
|---|---|---|---|---|
| 1174121396 | Comonique Russell | Home Health Aide | 2151 E Southern Ave Apt 1082, Mesa, AZ 85204-5358 | 2020-10-09 |
| 1073162095 | Wicliff Berris Benjamin | Home Health Aide | 10427 E Idaho Cir, Mesa, AZ 85209-7715 | 2019-09-11 |
| 1275017881 | Dickson Nganga | Home Health Aide | 3031 N 64th St, Mesa, AZ 85215-0925 | 2018-09-19 |
| 1508364290 | Carmelita Walker | Home Health Aide | 225 N Pomeroy, Mesa, AZ 85201-6779 | 2018-01-27 |
| 1134469059 | Carmen L Blackshear | Home Health Aide | 2024 S Rowen, Mesa, AZ 85209-6209 | 2013-03-01 |
| 1538450846 | Leah M Carter | Home Health Aide | 1051 S Dobson Rd, Unit 18, Mesa, AZ 85202-3903 | 2011-04-21 |
| 1629349766 | Cara Louise Silva | Home Health Aide | 1015 S Val Vista Dr, 18, Mesa, AZ 85204-5670 | 2012-01-20 |
| 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 |
| 1518578566 | Lakeisha Elem | Home Health Aide | 855 N Dobson Rd Apt 1045, Chandler, AZ 85224-6904 | 2020-08-13 |
| 1821612375 | Annie Mayson | Home Health Aide | 8517 W Chickasaw St, Tolleson, AZ 85353-8939 | 2020-06-01 |
| 1427670207 | James Verdieu | Home Health Aide | 2785 W Goldmine Mountain Dr, San Tan Valley, AZ 85142-4752 | 2020-05-14 |
| 1104452903 | People That Care, LLC. | Home Health Aide | 7034 W Peck Dr, Glendale, AZ 85303-4431 | 2020-03-13 |
| 1932734803 | Shane Amour Fulton | Home Health Aide | 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911 | 2020-03-11 |
| 1598397739 | Nasir Adam Ibrahim | Home Health Aide | 4009 S 12th Ave, Tucson, AZ 85714-1452 | 2020-02-05 |
| 1497386320 | Bachmeier Enterprises LLC | Home Health Aide | 14122 W Mcdowell Rd # 105, Goodyear, AZ 85395-2503 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
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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.