SARA ANN JACKSON


Address: 1969 W Hart Rd, Beloit Health System Inc, Beloit, WI 53511-2230
Phone: 6083645205

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).

Provider Overview

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

Taxonomy

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

Other Providers SARA JACKSON

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

Office Location

Street Address 1969 W HART RD
BELOIT HEALTH SYSTEM INC
City BELOIT
State WI
Zip Code 53511-2230

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
Find all providers in BELOIT

Competitor

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City BELOIT
Zip Code 53511

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Dataset Information

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.

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