ANNE MARTHA JACKSON (NPI# 1174923627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174923627 |
| Entity Type | Individual |
| Full Name | ANNE MARTHA JACKSON |
| Credential | RN, MN, CNS |
| Practice Address |
13175 Se Kuehn Rd Milwaukie OR 97222-4730 |
| Practice Telephone | 5039704201 |
| Mailing Telephone | 5039704201 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 00110808 | WA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 099006034RN | OR | Nursing Service Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 200670017CNS | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891066858 | Anne Jackson | Pharmacist | 1260 Washington St, Blair, NE 68008-1732 | 2012-01-23 |
| 1619127537 | Anne Elizabeth Jackson | Psychologist | 1101 College Ave, Ste 230, Santa Rosa, CA 95404-3956 | 2008-09-27 |
| 1366616591 | Anne Mccracken Jackson | Counselor | 633 Thompson Ln, Nashville, TN 37204-3616 | 2008-04-18 |
| 1669640017 | Anne Jackson | Physical Therapist | 1155 35th Ln, Ste 100, Vero Beach, FL 32960-6521 | 2008-02-19 |
| 1134208929 | Anne Marie Jackson | Physical Therapist | 3200 Shakerag Hl, Peachtree City, GA 30269-6511 | 2006-11-03 |
| 1497715452 | Anne Meath Jackson | Audiologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2006-03-24 |
| Street Address |
13175 SE KUEHN RD |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693365 | Veronica Berri | Health Educator | 13175 Se Kuehn Rd, Milwaukie, OR 97222-4730 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508212283 | Sodasavanh Joy Khamsoukthavong | Clinical Nurse Specialist | 501 N Graham St Ste 220, Portland, OR 97227-2014 | 2016-05-11 |
| 1235488651 | Claire M Yoshida | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd # L-586, Portland, OR 97239-3011 | 2012-08-30 |
| 1154631612 | Tracey Lee Loudon | Clinical Nurse Specialist | 32100 Se Chin St, Boring, OR 97009-9776 | 2010-10-18 |
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1760954150 | Brenda Lynn Grossnickle | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-12-22 |
| 1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
| 1376942052 | Mary Anne G Keane | Clinical Nurse Specialist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2014-08-18 |
| 1407123219 | Kathleen Ann Fuglee | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Road, Primary Care Room F 120, Portland, OR 97207-1034 | 2011-11-22 |
| 1437448537 | Joan Di Brogrozcio Kono | Clinical Nurse Specialist | 707 Sw Gaines St, Mail Code: Cdrc-p, Portland, OR 97239-2901 | 2011-03-30 |
| 1538462411 | Jodi Duke | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs 8z, Portland, OR 97239-3011 | 2010-12-14 |
| Find all providers with the same taxonomy | ||||
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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.