MS. VICKIE ROCHELLE MACK (NPI# 1912088055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912088055 |
| Entity Type | Individual |
| Full Name | MS. VICKIE ROCHELLE MACK |
| Other Name | MS. VICKIE ROCHELLE MACK |
| Practice Address |
811 Alvaredo St Jackson MS 39204-5317 |
| Practice Telephone | 6013728941 |
| Mailing Telephone | 6013728941 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P122165 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770172 | 05 |
| Street Address |
811 ALVAREDO ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| 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 |
|---|---|---|---|---|
| 1386272375 | Meagan Mary Deane | Licensed Practical Nurse | 1311 Winston Dr, Jackson, MI 49203-5026 | 2020-03-27 |
| 1952953390 | Kristin Marie Mees | Licensed Practical Nurse | 702 W Ganson St, Jackson, MI 49201-1047 | 2019-07-16 |
| 1477011336 | Roberta Lee Bentley | Licensed Practical Nurse | 5120 Leora Ln, Jackson, MI 49201-8912 | 2019-03-08 |
| 1033608385 | Suzann Swetland | Licensed Practical Nurse | 510 Gregory Pl, Jackson, MI 49202-2608 | 2018-05-02 |
| 1285122309 | Angela Holt | Licensed Practical Nurse | 913 Seymour Ave, Jackson, MI 49202-2543 | 2018-04-24 |
| 1093211377 | Sheldon Ewers | Licensed Practical Nurse | 5052 Marble St, Jackson, MI 49201-8146 | 2018-04-04 |
| 1508377383 | Coleman Care Givers LLC | Licensed Practical Nurse | 706 Hillmont Dr, Jackson, MS 39209-6003 | 2017-10-19 |
| 1609326263 | Regina Mcdaniel | Licensed Practical Nurse | 502 Mccarty Ln, Unit 5, Jackson, OH 45640-7020 | 2016-10-07 |
| 1023564366 | Rebecca Ashenfelter | Licensed Practical Nurse | 4715 Fox Valley Dr., 1a, Jackson, MI 49204 | 2016-08-28 |
| 1144673146 | Merrie Loar | Licensed Practical Nurse | 1410 Sherman Wood Dr, Jackson, MI 49201-8129 | 2016-07-14 |
| Find all providers in JACKSON | ||||
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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.