MRS. MARY JACKSON (NPI# 1992152672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992152672 |
| Entity Type | Individual |
| Full Name | MRS. MARY JACKSON |
| Practice Address |
421 Lively Hope Rd Callao VA 22435-2511 |
| Practice Telephone | 8042968250 |
| Practice Fax Number | 8045295005 |
| Mailing Telephone | 8042968250 |
| Mailing Fax Number | 8045295005 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| 1700186707 | Mary Sebrena Jackson | Social Worker | 450 Racetrack Rd, Mcdonough, GA 30252-6837 | 2010-10-25 |
| Street Address |
421 LIVELY HOPE RD |
| City | CALLAO |
| State | VA |
| Zip Code | 22435-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680673 | Access Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964072 | Rosalia Estrada | Dentist | 15075 Blvd Industrial, Tijuana, BAJA CALIFORNIA 22435 | 2019-04-05 |
| 1669955019 | Raven Custalow | Nurse Practitioner | 17452 Richmond Rd, Callao, VA 22435 | 2018-09-12 |
| 1437640919 | Stephanie Lopez | Dentist | Ave Jose Portillo #1460 Ste 3a, Tijuana, BAJA CALIFORNIA 22435 | 2018-05-21 |
| 1215430178 | Alejandro Zavala | Dentist | Ave Bellas Artes #316, Tijuana, BAJA CALIFORNIA 22435 | 2018-03-16 |
| 1629518576 | Manuel Lopez Garibay | Dentist | Blvd Bellas Artes #341, Ste 1 Otay, Tijuana, BAJA CALIFORNIA 22435 | 2017-02-26 |
| 1205284650 | Ana Lilia Chavez Espinoza | Dentist | Bellas Artes #19213-local Ll, Col. Nueva Tijuana, Tijuana, BAJA CALIFORNIA 22435 | 2016-05-26 |
| 1134593288 | Marcelo Manuel Lopez Hernandez | Dentist | Blvd. Bellas Artes #341-1, Colonia Nueva Tijuana, Tijuana, CA 22435 | 2015-11-30 |
| 1518083930 | Beverly J Thomas | Pharmacist | 17422 Richmond Rd, Callao, VA 22435 | 2007-03-21 |
| 1982669081 | Michael P. Chatterson | Family Medicine | 17452 Richmond Road, Callao, VA 22435 | 2006-04-20 |
| 1053834812 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17422 Richmond Rd, Po Box 1059, Callao, VA 22435 | 2017-07-24 |
| Find all providers in zip 22435 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680673 | Access Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2017-06-29 |
| 1962941278 | Kingdomnaires Personal Transport Services, LLC | Non-emergency Medical Transport (VAN) | 1836 Hampton Hall Rd, Callao, VA 22435 | 2017-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376939 | Supreme Taxi LLC | Non-emergency Medical Transport (VAN) | 5407 Grist Mill Dr, North Chesterfield, VA 23234-6705 | 2020-11-03 |
| 1629679154 | Whitney Simmons | Non-emergency Medical Transport (VAN) | 4103 Cedar Ln Apt B, Portsmouth, VA 23703-2040 | 2020-11-02 |
| 1407456544 | Lavender Non-medical Transportations LLC | Non-emergency Medical Transport (VAN) | 901 S Highland St Ste 333, Arlington, VA 22204-2459 | 2020-10-28 |
| 1962002279 | Life Services &transportation Inc. | Non-emergency Medical Transport (VAN) | 2075 Mountain Road, Halifax, VA 24558 | 2020-10-27 |
| 1114527603 | Dependable Care Transportation LLC | Non-emergency Medical Transport (VAN) | 355 Pear Ridge Cir, Newport News, VA 23602-5260 | 2020-10-26 |
| 1811596448 | Mm&q Transportation Inc. | Non-emergency Medical Transport (VAN) | 6109 Belrun Ct, North Chesterfield, VA 23234-3403 | 2020-10-24 |
| 1407455033 | Pedro Berrios | Non-emergency Medical Transport (VAN) | 1305 Old Iron Rd, Hopewell, VA 23860-6601 | 2020-10-24 |
| 1407455074 | Medisist Inc. | Non-emergency Medical Transport (VAN) | 6001 Pleasant Pond Pl, Chesterfield, VA 23832-9210 | 2020-10-23 |
| 1568061133 | All Star Care Transportation | Non-emergency Medical Transport (VAN) | 2507 Pompey Springs Rd, Richmond, VA 23234-1331 | 2020-10-23 |
| 1336748144 | Tena Lin'neese Artise' | Non-emergency Medical Transport (VAN) | 1285 N King St Ste 5, Hampton, VA 23669-2233 | 2020-10-22 |
| 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.