NICOLE JACKSON (NPI# 1023637220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023637220 |
| Entity Type | Individual |
| Full Name | NICOLE JACKSON |
| Practice Address |
100 Woods Rd Valhalla NY 10595-1530 |
| Mailing Address |
123 S Broadway Apt 9b Irvington NY 10533-2537 |
| Practice Telephone | 9144937292 |
| Mailing Telephone | 8454306941 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1124299680 | Nicole Jackson | Licensed Practical Nurse | 1830 Southern Pkwy, Springfield, OH 45506-3115 | 2008-03-12 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1205999588 | Nicole Lewis Jackson | Dentist | 3298 Northside Dr, Macon, GA 31210 | 2006-12-18 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1609405539 | Nicole Yvonne Jackson | Licensed Practical Nurse | 15 Frederick Ave, Akron, OH 44310-2904 | 2020-04-03 |
| Street Address |
100 WOODS RD |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436802 | Nagwa S. Saleh | Radiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2005-06-10 |
| 1639779663 | Trevor Anthony Chen Jr. | Pharmacy Technician | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-28 |
| 1316544620 | Hansol Lee | Physician Assistant | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-08 |
| 1205445558 | Rizwan Amin | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
| 1639788821 | Ailan Zhang | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
| 1578171302 | Yarden Bornovski | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-17 |
| 1780201517 | Anita Boonyoo | Nurse Practitioner | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-27 |
| 1972129807 | Lia C Iacuone | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-16 |
| 1578187852 | Miriam Heller | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-03 |
| 1710509716 | Jennifer Zappa | Pharmacist | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
| Find all providers in zip 10595 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466693 | Christopher J Laurie | Student in an Organized Health Care Education/Training Program | 608 Old Farm Rd Apt 608, Valhalla, NY 10595-1510 | 2020-04-16 |
| 1982223954 | Amythis Soltani | Student in an Organized Health Care Education/Training Program | 100 Woods Rd # 2, Valhalla, NY 10595-1530 | 2020-04-10 |
| 1992324917 | Ketki Sood Sood | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd # 2n-b16, Valhalla, NY 10595-1524 | 2020-04-09 |
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1346703394 | David Alec Bass | Student in an Organized Health Care Education/Training Program | 100 Woods Rd Rm E-130, Valhalla, NY 10595-1530 | 2019-04-08 |
| 1205398021 | Jason Lee | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd Ste 2n-b24, Valhalla, NY 10595-1524 | 2019-04-01 |
| 1649756685 | Sara Akbar | Student in an Organized Health Care Education/Training Program | 100 Woods Rd Apt 3-8, Valhalla, NY 10595-1530 | 2018-07-12 |
| 1568951150 | Anum Saeed Khan | Student in an Organized Health Care Education/Training Program | Westchester Medical Center-100 Woods Road, Valhalla, NY 10585 | 2018-05-09 |
| 1255829982 | Ahsan Hussain | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottage Rd Ste G-nb20, Valhalla, NY 10595-1524 | 2018-04-27 |
| Find all providers in VALHALLA | ||||
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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.