ROBERTA MARIE JACKSON NPI 1003418625

Technician (Personal Care Attendant) in Philippi, WV

NPI 1003418625 Individual Female Technician Personal Care Attendant

About ROBERTA JACKSON

Roberta Jackson is a provider established in Philippi, West Virginia and her medical specialization is technician (personal care attendant) . The NPI number of Roberta Jackson is 1003418625 and was assigned on November 2020. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an individual and her NPI record was last updated one year ago.

Roberta Jackson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003418625

Provider Name ROBERTA MARIE JACKSON
Provider Location Address47 CHURCH ST PHILIPPI, WV 26416
Provider Mailing AddressPO BOX 146 PHILIPPI, WV 26416
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-09-2020
Last Update Date11-09-2020


Primary Taxonomy

Taxonomy Code3747P1801X
ClassificationTechnician
TypeNursing Service Related Providers
SpecializationPersonal Care Attendant
Taxonomy DescriptionAn individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Business Address

ROBERTA MARIE JACKSON
47 CHURCH ST
PHILIPPI, WV
ZIP 26416
Phone: (304) 457-4545

Get Directions


Mailing Address

ROBERTA MARIE JACKSON
PO BOX 146
PHILIPPI, WV
ZIP 26416
Phone: (304) 457-4545



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790386589 BIRDIE JANE BARTLEY
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1043811763 RHONDA ELAINE RITTER
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1477154193 MARY LOU JOHNSON
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1780286302 JAYDIN RYAN NORRIS
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1124620836 KEMMA LYNN LONG
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1568064285 JUDY LANE MARSH
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1003418724 CAROL ANN SHAHAN
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1457953176 TAMMY LYNN MARSH
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1285236802 CAROLYN ROBERTA MAYLE
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1295337822 HELENA BLANCHE PRICE
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1639770365 KAREN SUE COLLINS
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1922600550 ROSEMARY MARIE WILSON
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1285236810 LINDA DIANE MCCORD
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1952903577 JUDITH JEAN SIMMONS
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1487256103 ROSE MARIE LANTZ
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1427650142 TIMOTHY LYNN HADDIX
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1871195594 DEBBIE JEAN KENNEDY
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1043813868 DEBRA MARIE FOSTER
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1770186595 ROSE MARIE NORRIS
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545
1265029318 JENNY LYNN HADDIX
Individual
Technician (Personal Care Attendant)47 CHURCH ST
PHILIPPI, WV 26416
(304) 457-4545

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.