Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184567414 Individual Practitioner Female Practitioner

Kellie Nichelle Jackson

Technician - Personal Care Attendant • Riverview, FL

Professional Overview & Biography Verified Profile Summary

Kellie Jackson is a registered healthcare professional specializing in Technician - Personal Care Attendant in Riverview, FL. Practice services are available at 13923 PAINTED BUNTING LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13923 Painted Bunting Ln

Riverview, FL 335793525

Telephone 8133048251
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician - Personal Care Attendant in Riverview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Riverview, FL (884 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-11
Technician - Personal Care Attendant Primary Specialty

NUCC Taxonomy Code: 3747P1801X

An 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

In Home Supportive Care

NUCC Taxonomy Code: 253Z00000X

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 11, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2026

Registered at 13923 PAINTED BUNTING LN, RIVERVIEW, FL 335793525 (Tel: 8133048251)

📍
Updated Business Mailing Address April 11, 2026

Registered at 13923 PAINTED BUNTING LN, RIVERVIEW, FL 335793525 (Tel: 8133048251)

👤
Provider Name / Credentials Updated April 11, 2026

Recorded as KELLIE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2026

In Home Supportive Care

🟢
Initial NPI Registration & Enumeration April 11, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184567414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2026
Last Update: April 11, 2026
Sole Proprietor: No

Mailing Address

13923 Painted Bunting Ln

Riverview, FL 335793525

Phone: 8133048251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.