AMY JACKSON (NPI# 1033587209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033587209 |
| Entity Type | Individual |
| Full Name | AMY JACKSON |
| Practice Address |
1420 Plaza Dr Petoskey MI 49770-9420 |
| Practice Telephone | 2313477890 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704312816 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027134 | Amy Lynn Jackson | In Home Supportive Care | 812 County Road 24 N, De Graff, OH 43318-9716 | 2020-09-15 |
| 1508489097 | Amy E Jackson | Social Worker | 102 Sloan Rd, Nashville, TN 37209-4636 | 2020-05-19 |
| 1780117804 | Amy Jackson | Counselor | 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 | 2017-04-05 |
| 1598116568 | Amy Jackson | Behavioral Analyst | 936 Central St Rear Unit, Framingham, MA 01701-4816 | 2016-06-30 |
| 1972866085 | Amy J Jackson | Nurse Practitioner | 2701 W North St Ste B, Muncie, IN 47303-3415 | 2012-06-22 |
| 1881754877 | Amy Jackson | Dentist | 14855 Blanco Rd Ste 109, San Antonio, TX 78216-7728 | 2006-12-11 |
| 1033155106 | Amy Marie Jackson | Family Medicine | 2731 Maguire Rd, Ocoee, FL 34761-4797 | 2006-06-20 |
| 1699772954 | Amy Elizabeth Jackson | Physician Assistant | 1124 Medical Pl, Seymour, IN 47274-2640 | 2005-07-01 |
| 1285235242 | Amy Fay Jackson | Nurse Practitioner | 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 | 2020-11-05 |
| 1376141747 | Amy Michele Jackson | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-16 |
| Street Address |
1420 PLAZA DR |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182279 | Pamala Krasinski-wespiser | Counselor | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-12-26 |
| 1093274722 | Mark Braendle | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-03-12 |
| 1538674353 | Brooke Kleinert | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2017-12-04 |
| 1881060549 | North Country Community Mental Health | Community/Behavioral Health | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2015-08-18 |
| 1992136659 | Geraldine L Deyoung | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1487085064 | Sherri L Spencer | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1003247776 | Jessica J Kenyon | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-12-06 |
| 1972933299 | Linda Brant | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2013-11-22 |
| 1598964496 | Karen Ferguson Bagwell | Social Worker | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2007-07-12 |
| 1407059991 | Karleen Jo Berry | Psychologist | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199772 | Alec Joseph Tuchowski | Registered Nurse | 1665 Bear Creek Ln, Petoskey, MI 49770-8381 | 2020-06-24 |
| 1396361499 | Lauren Kay Myers | Registered Nurse | 1665 Bear Creek Ln Unit F, Petoskey, MI 49770-8382 | 2020-06-24 |
| 1316596935 | Tiffany Catherine Stage | Registered Nurse | 2236 E Mitchell Rd Ste 5, Petoskey, MI 49770-9604 | 2019-09-06 |
| 1326583915 | Kendra Davis | Registered Nurse | 2677 Howard Rd, Petoskey, MI 49770-9503 | 2017-01-05 |
| 1447878566 | Tiffany Hornbeck | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-07-07 |
| 1083231963 | Cory Mills | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2020-06-26 |
| 1508417031 | Alexander Joseph Perry | Registered Nurse | 416 Connable Ave, Petoskey, MI 49770-2212 | 2019-09-25 |
| 1093274722 | Mark Braendle | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2019-03-12 |
| 1538674353 | Brooke Kleinert | Registered Nurse | 1420 Plaza Dr, Petoskey, MI 49770-9420 | 2017-12-04 |
| 1528591518 | Janice Barlow | Registered Nurse | 704 Emmet St, Petoskey, MI 49770-2910 | 2017-04-06 |
| Find all providers in PETOSKEY | ||||
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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.