LISA JACKSON (NPI# 1154711166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154711166 |
Entity Type | Individual |
Full Name | LISA JACKSON |
Practice Address |
20111 Horace Harding Expy Oakland Gardens NY 11364-1639 |
Practice Telephone | 3476249688 |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598300329 | Lisa Ann Jackson | Speech-Language Pathologist | 802 S Yucatan Dr, Tucson, AZ 85710-4933 | 2019-11-15 |
1194292441 | Lisa Jackson | Nurse's Aide | 2423 Montana Blue Dr, Spring, TX 77373-7871 | 2018-10-25 |
1770027781 | Lisa Jackson | Registered Nurse | 1520 E Calhoun St, Anderson, SC 29621-2210 | 2016-12-09 |
1720493224 | Lisa Nicole Jackson | Specialist/Technologist | 3200 Troup Hwy Ste, 120, Tyler, TX 75701 | 2014-06-24 |
1831468420 | Lisa Nicole Jackson | Licensed Practical Nurse | 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 | 2011-12-28 |
1992023030 | Lisa Jackson | Massage Therapist | 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 | 2010-05-13 |
1487844973 | Lisa Nicole Jackson | Obstetrics & Gynecology | 89-06 135th St, Room 6a, Jamaica, NY 11418 | 2007-07-31 |
1497828826 | Lisa Lanette Jackson | Nurse Practitioner | 1117 Chestnut St, Lewisville, AR 71845 | 2006-11-15 |
1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
1659980738 | Lisa Ann Jackson | Counselor | 956 E Tabor Ave, Fairfield, CA 94533-4104 | 2020-07-24 |
Street Address |
20111 HORACE HARDING EXPY |
City | OAKLAND GARDENS |
State | NY |
Zip Code | 11364-1639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013566363 | Emily D'auria | Counselor | Fort Totten Bldg 413a, Bayside, NY 11364 | 2019-09-10 |
1780154377 | Cherry Ye | Pharmacist | 5601 215th St, Bayside Hills, NY 11364 | 2018-11-27 |
1114420825 | Chuenbong Jonathan Ho | Dentist | 6154 Springfield Blvd, Oakland Gardens, NY 11364 | 2018-03-09 |
1700303419 | Jason Jin Li | Pharmacist | 58 32 218st, Bayside, NY 11364 | 2017-08-23 |
1265958342 | Rebecca Adar | Occupational Therapist | 78- 26 220th Place, Bayside, NY 11364 | 2017-08-21 |
1700320298 | Approaches In Learning for Special Kids Inc | Home Health | 73-11 210th Street, Apt 3n, Oakland Gardens, NY 11364 | 2016-12-19 |
1811448665 | Connie Aronson | Specialist | 208-10 Richland Avenue, Hollis Hills, NY 11364 | 2016-10-17 |
1154716892 | Dianne James | Physical Therapy Assistant | 224-09b 67th Avenue, Oakland Gardens, NY 11364 | 2015-03-31 |
1558779447 | Lai Chu Elizabeth Sin | Occupational Therapist | 22459a Kingsbury Avenue, Oakland Gardens, NY 11364 | 2014-07-24 |
1023459849 | William Choi | Pharmacist | 21970 64th Ave #c, Bayside, NY 11364 | 2013-07-09 |
Find all providers in zip 11364 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
Find all providers with the same taxonomy |
City | OAKLAND GARDENS |
Zip Code | 11364 |
Please comment or provide details below to improve the information on LISA 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.