MS. LAKESHIA MICHELLE JACKSON (NPI# 1881954071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881954071 |
| Entity Type | Individual |
| Full Name | MS. LAKESHIA MICHELLE JACKSON |
| Practice Address |
2205 Blue Bell Ter Kearney MO 64060-7313 |
| Practice Telephone | 8165881343 |
| Mailing Telephone | 8169030103 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | MO | Behavioral Health & Social Service Providers | |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities | |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
MO | Respite Care Facility | |
| N | 171M00000X | Case Manager/Care Coordinator | MO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609313840 | Lakeshia Jackson | Nurse Practitioner | 912 S Washington Ave, Saginaw, MI 48601-2564 | 2017-01-26 |
| Street Address |
2205 BLUE BELL TER |
| City | KEARNEY |
| State | MO |
| Zip Code | 64060-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972913572 | Leaann M. Zeller | Registered Nurse | 1311 Heather Ct, Kearney, MO 64060 | 2014-05-05 |
| 1386793602 | Janet L Gilbert | Family Medicine | 15415 Hwy 92, Kearney, MO 64060 | 2007-01-09 |
| 1386720373 | Christina Dak-wai Donze | Nurse Practitioner | 301 B South Platte Clay Way, Kearney, MO 64060 | 2006-10-31 |
| 1942317193 | Kevin C Allman | Dentist | 301 S Jefferson, Kearney, MO 64060 | 2006-08-24 |
| 1609369917 | Sydney Erin Anderson | Occupational Therapist | 101 W 92 Hwy Ste H, Kearney, MO 64060 | 2018-06-11 |
| 1083126569 | Annah C Sybouts | Nurse Practitioner | 305 S Platte Clay Way, Kearney, MO 64060 | 2017-10-24 |
| 1134236383 | William R Reed Jr. | Dentist | 301 S Jefferson, Kearney, MO 64060 | 2006-08-24 |
| 1821438870 | Nicholas Schuier | Dentist | 801 Watson Dr, Ste#g, Kearney, MO 64060-4501 | 2013-07-03 |
| 1548790066 | Daniel Guerra | Dentist | 801 Watson Dr, Kearney, MO 64060-4515 | 2017-06-18 |
| 1831361906 | Cameron Callaway Lindsey | Pharmacist | 2300 Summit Trl, Kearney, MO 64060-7332 | 2008-03-29 |
| Find all providers in zip 64060 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| 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.