MISS JUDITH LYNN JACKSON (NPI# 1114575016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114575016 |
| Entity Type | Individual |
| Full Name | MISS JUDITH LYNN JACKSON |
| Practice Address |
2820 N Cherry St Apt C105 Spokane Valley WA 99216-5009 |
| Practice Telephone | 5094132792 |
| Mailing Telephone | 5094132792 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356585343 | Judith A Jackson | Registered Nurse | 1622 E 24th St, Brooklyn, NY 11229-2402 | 2009-04-22 |
| 1497973911 | Judith Temple Jackson | Psychologist | 125 Coulter Ave, Floor 2, Ardmore, PA 19003-2410 | 2007-04-22 |
| 1104100775 | Judith Ann Jackson | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2011-09-30 |
| 1932238128 | Judith Francine Jackson | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-05 |
| 1952444721 | Judith Jackson | Family Medicine | 13856 N Dale Mabry Hwy, Tampa, FL 33618-2420 | 2007-02-14 |
| 1821055880 | Judith Jackson | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1395 | 2006-04-26 |
| Street Address |
2820 N CHERRY ST APT C105 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028561 | Tracy Lee Janosik | Technician | 316 N 30th Ave, Yakima, WA 98902-2332 | 2020-09-20 |
| 1922613157 | Rosa Kohler | Technician | 7411 Mill Creek Rd, Walla Walla, WA 99362-8490 | 2020-09-14 |
| 1336754027 | Merry Louise Charbonneau | Technician | 928 E Nora Ave, Spokane, WA 99207-2458 | 2020-09-10 |
| 1619581584 | Luana Irene Hulsey | Technician | 3408 Boxwood Ave, Bellingham, WA 98225-8400 | 2020-09-08 |
| 1285246553 | Sheryl Ann Fisher | Technician | 4124 240th St E, Spanaway, WA 98387-7002 | 2020-08-18 |
| 1881205516 | Megan Marie Henderson | Technician | 1214 Lowry St, Moses Lake, WA 98837-3103 | 2020-08-14 |
| 1396360699 | Sheila Therese Mccool | Technician | 10121 Evergreen Way Ste 25179, Everett, WA 98204-3885 | 2020-06-11 |
| 1811511082 | Brent Sidney Stone | Technician | 200 Nw 148th St, Vancouver, WA 98685-5752 | 2020-06-03 |
| 1538781695 | Nikki L Coleman | Technician | 2125 W Pioneer, Puyallup, WA 98371-5265 | 2020-05-12 |
| 1134748668 | Kara Lee Mathwich | Technician | 904 N 1st St, Renton, WA 98057-5759 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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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.