MR. WILLIAM MATERSON JACKSON (NPI# 1083904502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083904502 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM MATERSON JACKSON |
| Credential | CRNFA |
| Practice Address |
1730 Brunswick Dr Blacksburg VA 24060-1988 |
| Practice Telephone | 5409531970 |
| Mailing Telephone | 5409531970 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
0001170063 | VA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
| 1851646129 | William Jackson | Specialist | 5 Shorewood Ln, Centerport, NY 11721-1731 | 2012-07-23 |
| 1912231721 | William Roland Jackson | Counselor | 2772 S. Mlk Blvd., Fresno, CA 93706-5345 | 2009-09-25 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1487846366 | William Bradley Jackson | Physical Therapy Assistant | 176 Division St, Great Barrington, MA 01230-1179 | 2007-08-14 |
| 1316144215 | William Lorenzo Jackson | Internal Medicine | 300 Rodgers Blvd, Terminal Box Unit-67, Honolulu, HI 96819-1890 | 2007-07-02 |
| 1366585226 | William Spencer Jackson | Counselor | 880 W 12th St, Reno, NV 89503-2601 | 2007-02-14 |
| 1417006594 | William Kenneth Jackson | Dentist | 11411 N Central Expy Ste K, Dallas, TX 75243-6606 | 2007-01-09 |
| 1326109661 | William Jackson Jr. | Optometrist | 4 West Way Court, Lake Jackson, TX 77566-5242 | 2006-12-12 |
| Street Address |
1730 BRUNSWICK DR |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482607 | Patricia Melodie Mason | Registered Nurse | 13890 Braddock Rd Ste 201, Centreville, VA 20121-2437 | 2020-03-19 |
| 1437632155 | Kathleen Marie Varnell | Registered Nurse | 8004 Cloister Dr, Gloucester, VA 23061-5307 | 2018-09-09 |
| 1952841769 | A.a Sheena Care LLC | Registered Nurse | 3108 Columbia Pike, Arlington, VA 22204-4300 | 2017-02-27 |
| 1306086178 | Flordeliza Valencia Mullins | Registered Nurse | 1101 Sam Perry Blvd Ste 207, Fredericksburg, VA 22401-4465 | 2009-03-05 |
| 1912189960 | Emmie S Butterworth | Registered Nurse | 2900 Scherer Dr, Richmond, VA 23235-3104 | 2007-12-02 |
| 1629684428 | Sara Jeanne Glessner | Registered Nurse | 1721 Financial Loop, Lake Ridge, VA 22192-2460 | 2020-09-17 |
| 1942835673 | Jabuda LLC | Registered Nurse | 830 Kempsville Rd, Norfolk, VA 23502-3920 | 2020-03-03 |
| 1538706171 | Susan Arencibia | Registered Nurse | 12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033-3315 | 2019-12-03 |
| 1972070167 | Kimberly T Prevost | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2018-10-26 |
| 1962915454 | Dominion Surgical Assistants, LLC | Registered Nurse | 24440 Stone Springs Blvd, Dulles, VA 20166 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.