MR. ROBERT ANTHONY JACKSON (NPI# 1093845919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093845919 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ANTHONY JACKSON |
| Practice Address |
128 Scenega Glennallen AK 99588 |
| Mailing Address |
Box 233 Copper Center AK 99573 |
| Practice Telephone | 9078223384 |
| Practice Fax Number | 9078225484 |
| Mailing Telephone | 9078225185 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| X | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| X | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| X | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| X | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
128 SCENEGA |
| City | GLENNALLEN |
| State | AK |
| Zip Code | 99588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396875209 | Kareena L Best | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1205966116 | Roxanne Marie Farmer | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1578693461 | Elizabeth Mary Rose Hoadley | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1710017629 | Glenn Ernest Tepaske | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1467582361 | Karen I Camp | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1376673277 | Tammy Sue Cronk | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1982734893 | Jennifer Jean Titus | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1407986318 | Saovanee Brahma | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1184754095 | Jill Delores Johnson | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1174653075 | Lisa Marie Buchal | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669874 | Abigail Nagengast | Massage Therapist | 187.6 Glenn Highway, Glennallen, AK 99588 | 2019-10-03 |
| 1962900100 | Copper River Native Association | Pharmacy | Mile 111.5 Richardson Highway, Glennallen, AK 99588 | 2018-01-23 |
| 1932633377 | Marissa Dewit | Massage Therapist | Mp 187.5 Glenn Highway, Glennallen, AK 99588 | 2017-04-12 |
| 1629349618 | Stephanie Allison Sever | Massage Therapist | 6 Old Potato Way, Mccarthy, AK 99588 | 2012-01-23 |
| 1588804306 | Roger Allen Hughes | Physician Assistant | Mile 186.5 Glenn Hwy, Glennallen, AK 99588 | 2009-03-06 |
| 1871780452 | Cathy Jean King | Counselor | Mile 111.2 Richardson Hwy, Corner of Tazlina Terrace Drive, Glnnallen, AK 99588 | 2007-09-27 |
| 1508945429 | Sandra R Tsinnie | Pharmacy Technician | Mm 187.5 Glenn Hwy, Glennallen, AK 99588 | 2006-11-02 |
| 1013093095 | Jimmie Lynn Asher | Pharmacist | Mm 111.5 Richardson Hwy, Glennallen, AK 99588 | 2006-10-31 |
| 1194334474 | Tom M Peek | Counselor | Mile 111.5, Glennallen, AK 99588 | 2020-07-23 |
| 1255996369 | Suzanne Marie Sarafin | Massage Therapist | Mile 187 Glenn Highway, Glennallen, AK 99588 | 2019-05-03 |
| Find all providers in zip 99588 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396875209 | Kareena L Best | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1205966116 | Roxanne Marie Farmer | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1578693461 | Elizabeth Mary Rose Hoadley | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1710017629 | Glenn Ernest Tepaske | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1467582361 | Karen I Camp | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1376673277 | Tammy Sue Cronk | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1982734893 | Jennifer Jean Titus | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1407986318 | Saovanee Brahma | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1184754095 | Jill Delores Johnson | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| 1174653075 | Lisa Marie Buchal | Chore Provider | 128 Scenega, Glennallen, AK 99588 | 2007-03-07 |
| Find all providers in GLENNALLEN | ||||
| City | GLENNALLEN |
| Zip Code | 99588 |
Please comment or provide details below to improve the information on MR. ROBERT ANTHONY JACKSON.
| 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.