SHAEMIK HARRIS (NPI# 1992239404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992239404 |
| Entity Type | Individual |
| Full Name | SHAEMIK HARRIS |
| Credential | RN |
| Practice Address |
3520 Sykes Park Dr Jackson MS 39212 |
| Mailing Address |
3520 Sykes Park Dr Jackson MS 39212-4743 |
| Practice Telephone | 6017150866 |
| Mailing Telephone | 6017150866 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 903953 | MS | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
903953 | MS | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
903953 | MS | Nursing Service Providers |
| Y | 376J00000X | Homemaker | 64547 | MS | Nursing Service Related Providers |
| Street Address |
3520 SYKES PARK DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639600190 | A To Z Homecare Services | In Home Supportive Care | 3520 Sykes Park Dr, Jackson, MS 39212-4743 | 2017-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| 1235523549 | Chanda M Rhodes | Counselor | 125 Cedarwood Dr, Jackson, MS 39212-2208 | 2015-03-25 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1437764891 | Janet Hammock | Homemaker | 171 Coffman St, Jackson, OH 45640-1211 | 2020-09-12 |
| 1851856579 | Sylvia L Terry | Homemaker | 2135 Henry Hill Dr Ste 1, Jackson, MS 39204-2027 | 2019-02-06 |
| 1396219382 | Mark A Woods | Homemaker | 360 Comet Dr Ste C, Jackson, MS 39206-4333 | 2019-01-14 |
| 1558847616 | Angela Coleman | Homemaker | 2317 Kibby Rd, Jackson, MI 49203-3835 | 2018-07-12 |
| 1326541178 | Jamila Birden | Homemaker | 3233 Charleston Dr, Jackson, MS 39212-4102 | 2018-03-16 |
| 1750883468 | Serenity Angels LLC | Homemaker | 3537 Cottage St, Jackson, MS 39213-5721 | 2018-03-08 |
| 1487156873 | Debra Ann Scott | Homemaker | 76 Woodland Dr, Jackson, TN 38305-6414 | 2018-03-02 |
| 1225559917 | Ronesha Haygood | Homemaker | 1636 Raymond Road Apt 17k, Jackson, MS 39205 | 2017-07-03 |
| 1245570597 | Dorothy M. Taylor | Homemaker | 104 Walnut Trace Dr., Jackson, TN 38305 | 2013-02-25 |
| 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.