YAMETRIUS JACKSON (NPI# 1912524992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912524992 |
| Entity Type | Individual |
| Full Name | YAMETRIUS JACKSON |
| Practice Address |
3903 Caldwell Ln Del Valle TX 78617-3021 |
| Practice Telephone | 9793931422 |
| Mailing Telephone | 9793931422 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
3903 CALDWELL LN |
| City | DEL VALLE |
| State | TX |
| Zip Code | 78617-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453063 | Wallach Dental, Pllc | Clinic/Center | 4529 East Tx-71, Del Valle, TX 78617 | 2018-10-15 |
| 1790250686 | Central Texas Community Health Centers | Clinic/Center | 3154 Texas 71, Austin, TX 78617 | 2018-10-08 |
| 1932220365 | Patricia Thomas | Contractor | 112 Rock Point, Del Valle, TX 78617 | 2007-04-03 |
| 1578659397 | Patrice Patton Budd | Nurse Practitioner | 3311 Fm 973 South, Del Valle, TX 78617 | 2006-10-05 |
| 1508126020 | Stone Springs Wellness | Marriage & Family Therapist | 3520 Victorine Ln Apt A, Del Valle, TX 78617-3032 | 2012-05-17 |
| 1518509306 | Maryanne Fernanda Rivera | Counselor | 5201 Ross Rd, Del Valle, TX 78617-3202 | 2019-10-13 |
| 1053956995 | Thomas W Allen | Specialist/Technologist | 5201 Ross Rd, Del Valle, TX 78617-3202 | 2019-11-14 |
| 1164560454 | Del Valle Isd | Local Education Agency (LEA) | 5301 Ross Rd, Del Valle, TX 78617-3203 | 2007-02-01 |
| 1407398241 | Cedar Creek Labs LLC | Clinical Medical Laboratory | 4200 Burch Dr Ste C9, Del Valle, TX 78617-3234 | 2016-11-10 |
| 1366723595 | Prana Dental P.C. | Dentist | 4529 Hwy 71 E, Del Valle, TX 78617-3280 | 2011-09-01 |
| Find all providers in zip 78617 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932220365 | Patricia Thomas | Contractor | 112 Rock Point, Del Valle, TX 78617 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123228 | D and J Development | Contractor | 3016 N I 35 E, Lancaster, TX 75134-1851 | 2020-10-28 |
| 1427657659 | Mipcn, Inc. | Contractor | 9305 Hammerly Blvd, Houston, TX 77080-5413 | 2020-10-19 |
| 1497353569 | Mark Sanders | Contractor | 3046 Fordham Rd, Dallas, TX 75216-4819 | 2020-10-12 |
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1235744244 | Dignity Services LLC | Contractor | 1001 N Medford Rd, Brownsville, TX 78521-8474 | 2020-09-15 |
| 1568076826 | Hanaa Mohammed | Contractor | 6825 Huebner Rd # 680012, San Antonio, TX 78238-2108 | 2020-09-03 |
| 1609487107 | Lateshna D Oliver | Contractor | 1714 7th St, Wichita Falls, TX 76301-4223 | 2020-08-10 |
| 1588282354 | Tenzie May | Contractor | 5413 Mansel Ln, Fort Worth, TX 76134-1615 | 2020-07-08 |
| 1720605116 | Physmedics LLC | Contractor | 10900 Research Blvd., Ste 160-c, #3, Austin, TX 78759-5718 | 2020-07-01 |
| 1609493444 | Kizzey Ann Collins | Contractor | 810 Skyline Trl, Houston, TX 77019-2950 | 2020-06-27 |
| 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.