JACKSON'S NURSE PRACTITIONER HOUSECALLS LLC (NPI# 1942795729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942795729 |
| Entity Type | Organization |
| Organization Name | JACKSON'S NURSE PRACTITIONER HOUSECALLS LLC |
| Practice Address |
12 Kings Crossing Ct Apt L Cockeysville MD 21030 |
| Mailing Address |
12 Kings Crossing Ct Apt L Cockeysville MD 21030-3163 |
| Practice Telephone | 4432559527 |
| Mailing Telephone | 4432559527 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | CHERYSE JACKSON (MANAGING MEMBER) |
| Authorized Official Telephone | 4432559527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12 KINGS CROSSING CT APT L |
| City | COCKEYSVILLE |
| State | MD |
| Zip Code | 21030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450396 | Transcend Services Inc | Interpreter | 109-44 Beaver Dam Rd, Ste B, Hunt Valley, MD 21030 | 2019-10-30 |
| 1275015695 | Tiara Johnson | Behavior Technician | 201 International Circle, Hunt Valley, MD 21030 | 2018-09-01 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1871012278 | Jahnelle Danica Mclennan | Dentist | 5 Shawan Rd Ste 2, Hunt Valley, MD 21030 | 2017-09-17 |
| 1326423773 | Casey Ball | Case Management | 210 International Circle Suite 230, Hunt Valley, MD 21030 | 2015-07-28 |
| 1558705913 | Cortney J Johnstone | Occupational Therapist | 102 Lakefront Drive, Hunt Valley, MD 21030 | 2013-04-29 |
| 1104189257 | Hilary T Harrington | Counselor | 11311 Mccormick Road, 350, Hunt Valley, MD 21030 | 2012-06-22 |
| 1164715413 | Nichole Lea Edmond | Speech-Language Pathologist | 1508 Heather Hill Lane, Cockeysville, MD 21030 | 2011-05-19 |
| 1134440282 | Rabab Al-amin | Acupuncturist | 215 Wickersham Way, Cockeysville, MD 21030 | 2010-06-11 |
| 1710190558 | Felicia Lynn Ray | Occupational Therapy Assistant | 307 Limestone Valley Dr., Cockeysville, MD 21030 | 2007-05-08 |
| Find all providers in zip 21030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952445322 | Nidhi Jayant Desai | Family Medicine | 534 Rhapsody Ct, Cockeysville, MD 21030-1915 | 2007-02-17 |
| 1659415123 | Thy Bich Nguyen | Family Medicine | 10600 York Rd Ste 102, Cockeysville, MD 21030-2396 | 2007-02-17 |
| 1780773010 | Ephraim E Dagadu | Family Medicine | 9832 York Road, Suite F, Cockeysville, MD 21030-4936 | 2006-10-12 |
| 1093797995 | David Hartig | Family Medicine | 10155 York Rd, Ste 200, Cockeysville, MD 21030-3352 | 2005-11-16 |
| 1912297797 | Thy Nguyen Md LLC | Family Medicine | 10600 York Rd, Ste 102, Cockeysville, MD 21030-2351 | 2011-04-13 |
| 1801922646 | Hunt Valley Family Health LLC | Family Medicine | 10155 York Rd, Ste 200, Cockeysville, MD 21030-3336 | 2007-02-26 |
| 1336222009 | Ariane K Cometa | Family Medicine | 10151 York Rd, Ste 120, Cockeysville, MD 21030-3314 | 2006-10-24 |
| 1932282134 | Mary A Rackson | Family Medicine | 10155 York Rd, Ste 200, Cockeysville, MD 21030-3352 | 2006-10-23 |
| 1821196601 | Ronald Lee Broadwater Sr. | Family Medicine | 12 Brecon Pl, Ste 400, Cockeysville, MD 21030-2343 | 2006-09-20 |
| 1174599963 | Jenepher Piper | Family Medicine | 10155 York Rd, Ste 200, Cockeysville, MD 21030-3352 | 2006-02-23 |
| Find all providers in COCKEYSVILLE | ||||
| City | COCKEYSVILLE |
| Zip Code | 21030 |
Please comment or provide details below to improve the information on JACKSON'S NURSE PRACTITIONER HOUSECALLS LLC.
| 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.