PAIGE ROTON JACKSON (NPI# 1124386636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124386636 |
| Entity Type | Individual |
| Full Name | PAIGE ROTON JACKSON |
| Credential | N.P. |
| Practice Address |
1717 N E St Ste 331 Pensacola FL 32501-6335 |
| Practice Telephone | 8504846500 |
| Practice Fax Number | 8504441755 |
| Mailing Telephone | 8504846500 |
| Mailing Fax Number | 8504441755 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9442755 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-049797 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326731 | Paige K Jackson | Registered Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-15 |
| 1881116606 | Paige M Jackson | Social Worker | 1025 Maine St, Quincy, IL 62301-4038 | 2017-07-13 |
| 1972047264 | Paige Jackson | Nurse Practitioner | 4715 24th Pl, Meridian, MS 39305-1686 | 2016-12-06 |
| 1245431758 | Paige Yvette Jackson | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016 | 2007-05-30 |
| 1053493833 | Paige B Jackson | Anesthesiologist Assistant | 6605 Abercorn St, St 108, Savannah, GA 31405-5815 | 2006-10-20 |
| Street Address |
1717 N E ST STE 331 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548212301 | Shelia Diane Bennett | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2006-05-17 |
| 1760948665 | Rebekah Leigh Wyrosdick | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2019-02-15 |
| 1649784885 | Kathryn Kristina Crowley | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2017-11-27 |
| 1275046781 | Heather Dean | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501 | 2017-11-07 |
| 1962870386 | Christopher L Anderson | Physician Assistant | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2015-09-02 |
| 1649658873 | Michelle Donovan | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2015-05-07 |
| 1851704787 | Ashton Sorrells | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2014-06-09 |
| 1366714958 | Felipe Andres Valencia | Physician Assistant | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2012-01-30 |
| 1265670251 | Muhammad S. Ghumman | Internal Medicine | 1717 N E St Ste 331, Pensacola, FL 32501 | 2009-01-28 |
| 1063681815 | Angela Andersen | Nurse Practitioner | 1717 N E St Ste 331, Pensacola, FL 32501-6335 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1275143760 | Katherine Brooke Barnes | Nurse Practitioner | 816 Tanglewood Dr, Pensacola, FL 32503-3224 | 2020-08-09 |
| 1306462700 | Jessica Hollingsworth | Nurse Practitioner | 4616 Marseille Dr, Pensacola, FL 32505-2624 | 2020-06-22 |
| 1427677756 | Buffi G Bailey | Nurse Practitioner | 5980 Osprey Pl, Pensacola, FL 32504-7938 | 2020-04-16 |
| 1295215911 | Selma Mehmedovic | Nurse Practitioner | 54 Assana Ct, Pensacola, FL 32506-9305 | 2018-08-21 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1750731774 | Gulf Coast Health Care LLC | Nurse Practitioner | 40 Palafox Pl Ste 400, Pensacola, FL 32502-5699 | 2016-06-21 |
| 1538563028 | Dana Bebber | Nurse Practitioner | 1230 Creighton Rd, Pensacola, FL 32504-7161 | 2014-10-13 |
| 1952702086 | Peggy Davis Neese | Nurse Practitioner | 7641 Old Hickory Dr, Pensacola, FL 32507-1682 | 2014-09-08 |
| Find all providers in PENSACOLA | ||||
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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.