Active NPI
Tamekia R Jackson, CNA/MED AIDE
- Nurse's Aide
- Omaha, NE
National Provider Identifier
1285937375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 51508
- Practice address
- 9105 Bedford Ave
Omaha, NE 68134-4723 - Phone
- (402) 502-8330
- Fax
- (402) 502-8331
- NPI assigned
- Dec 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 51508 | NE | Primary |
Addresses
Primary practice location
9105 Bedford Ave
Omaha, NE 68134-4723
Mailing address
3312 N 38TH St
Omaha, NE 68111-3142
Phone (402) 753-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51508 | NE | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heavenly Health Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Bellevue, NE
- NPI 1316266380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1285937375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 N 38TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113142",
"telephone_number": "402-753-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 BEDFORD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344723",
"telephone_number": "402-502-8330",
"fax_number": "402-502-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TAMEKIA",
"middle_name": "R",
"credential": "CNA/MED AIDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "51508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.