SARA ANN JACKSON (NPI# 1013312487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013312487 |
Entity Type | Individual |
Full Name | SARA ANN JACKSON |
Credential | N.P. |
Practice Address |
1969 W Hart Rd Beloit Health System Inc Beloit WI 53511-2230 |
Mailing Address |
1905 E Huebbe Pkwy Beloit Health System Inc Beloit WI 53511-1842 |
Practice Telephone | 6083645205 |
Practice Fax Number | 6083645593 |
Mailing Telephone | 6083642293 |
Mailing Fax Number | 6083637395 |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 041-315722 | IL | Nursing Service Providers |
N | 163W00000X | Registered Nurse | 149184-30 | WI | Nursing Service Providers |
Y | 363L00000X | Nurse Practitioner | 6125-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730713926 | Sara Jackson | Behavior Technician | 15 Seagroves St, Wilton, NH 03086 | 2020-02-26 |
1194342436 | Sara Jackson | Social Worker | 2029 Buchanan St, Kansas City, MO 64116 | 2020-07-02 |
1023632080 | Sara Anne Pili Jackson | Counselor | 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 | 2020-06-04 |
1689223646 | Sara L Jackson | Registered Nurse | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2019-09-11 |
1710546106 | Sara Jackson | Dentist | 8217 Wicker Ave, Saint John, IN 46373-8878 | 2019-06-10 |
1629560495 | Sara Elizabeth Jackson | Behavior Technician | 231 Se Barrington Dr Ste 203, Oak Harbor, WA 98277-3200 | 2018-06-06 |
1548758972 | Sara Michelle Jackson | Behavior Technician | 6210 75th St W Ste B100, Lakewood, WA 98499-8109 | 2018-05-01 |
1992205108 | Sara Izora Jackson | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-02-14 |
1295123602 | Sara Jackson | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2015-01-07 |
1114366945 | Sara W. Jackson | Occupational Therapist | 1201 Broad Rock Blvd, Pm&r/117, Richmond, VA 23249-0001 | 2013-06-14 |
Street Address |
1969 W HART RD BELOIT HEALTH SYSTEM INC |
City | BELOIT |
State | WI |
Zip Code | 53511-2230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881681294 | Kenneth L Klein | Physical Medicine & Rehabilitation | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2005-09-30 |
1154939924 | Danielle Suzanne Rodriguez | Registered Nurse | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-07-17 |
1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
1821628082 | Lauren Renee Mueth | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2020-01-16 |
1477028421 | Chad Schroeder | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-10-05 |
1962988444 | Dawn E Hudson | Social Worker | 1969 W Hart Rd, Beloit, WI 53511-2298 | 2018-07-17 |
1316445588 | Doris Vargas | Physician Assistant | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-23 |
1356859508 | Sheila Evanoff | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2018-01-22 |
1396277844 | Ellen Mary Alice Rippl | Dietitian, Registered | 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2017-04-03 |
1356792964 | Nicole Lynn Bengtson | Counselor | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2016-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
Find all providers in zip 53511 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
1457416752 | Maureen Louise Cain | Nurse Practitioner | 74 Beloit Mall, Beloit, WI 53511 | 2006-12-27 |
1912541103 | Melissa Ann Covert | Nurse Practitioner | 18586 5th St, Beloit, OH 44609-9799 | 2019-10-31 |
1053880690 | Cynthia L Philpott | Nurse Practitioner | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2018-11-13 |
1376045856 | Kari B Ziemba | Nurse Practitioner | Beloit Health System Inc., Beloit Clinic 1905 E. Huebbe Parkway, Beloit, WI 53511 | 2018-03-01 |
1376079947 | Ruth Christiansen | Nurse Practitioner | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2017-05-02 |
1689027344 | Kristy Nicole-ortha Dygart | Nurse Practitioner | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2016-07-18 |
1023485059 | Madelene G. Hamann | Nurse Practitioner | 1905 E Huebbe Pkwy, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2015-08-25 |
1558751198 | Jenny Ann Managbanag | Nurse Practitioner | 1969 W. Hart Road, Beloit Memorial Hospital, Beloit, WI 53511-2230 | 2015-02-04 |
1093110306 | Laura Anderson | Nurse Practitioner | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2014-10-29 |
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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.