DANETTE P JACKSON (NPI# 1013034255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013034255 |
| Entity Type | Individual |
| Full Name | DANETTE P JACKSON |
| Credential | AU.D., CCC-A |
| Practice Address |
7525 Custer Road W. Lakewood WA 98499 |
| Practice Telephone | 2534767327 |
| Practice Fax Number | 2534760585 |
| Mailing Telephone | 2534767327 |
| Mailing Fax Number | 2534760585 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | LD00001210 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7127665 | 05 | |
| WA | 9058553 | 05 | |
| WA | LABOR AND INDUSTRIES | 0196115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174643209 | Danette Jackson | Registered Nurse | 281 Sawyer Dr, Durango, CO 81303-3409 | 2007-03-30 |
| Street Address |
7525 CUSTER ROAD W. |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1043616261 | Erin Mae Zemba | Audiologist | 15416 Lakewood Heights Blvd, Lakewood, OH 44107-5507 | 2014-11-16 |
| 1417291543 | Laura Lynn Blair | Audiologist | 2302 S Eaton Ct, Lakewood, CO 80227-3948 | 2012-11-15 |
| 1679870299 | Adam Enock | Audiologist | 921 E County Line Rd Ste C, Lakewood, NJ 08701-2082 | 2011-02-16 |
| 1932404209 | Jessica Doehrman | Audiologist | 1630 S Deframe St, Unit B3, Lakewood, CO 80228-6023 | 2011-01-18 |
| 1740501832 | Amie P. Smith | Audiologist | 3110 S Wadsworth Blvd Ste 107, Lakewood, CO 80227-4809 | 2010-06-13 |
| 1013167899 | Elizabeth Rae Hawkins | Audiologist | 5419 Dunrobin Ave, Lakewood, CA 90713-1402 | 2008-09-29 |
| 1871768416 | Kirsten Ann Gardzelewski | Audiologist | 11390 W Glennon Dr, Lakewood, CO 80226-2572 | 2008-04-24 |
| 1346411436 | Danielle Yvonne Kennedy | Audiologist | 13952 Denver West Pkwy Ste 325, Lakewood, CO 80401-3143 | 2008-03-17 |
| 1982810032 | Matthew A Wilken | Audiologist | 445 Union Blvd Ste 124, Lakewood, CO 80228-1239 | 2007-05-15 |
| Find all providers in LAKEWOOD | ||||
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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.