MISS IDA OLIVIA JACKSON (NPI# 1184022659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184022659 |
| Entity Type | Individual |
| Full Name | MISS IDA OLIVIA JACKSON |
| Credential | LAC, LMT |
| Practice Address |
103 N Taylor Ave Suite B Kirkwood MO 63122-4360 |
| Practice Telephone | 3146232302 |
| Mailing Telephone | 3146232302 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 2013032932 | MO | Other Service Providers |
| Street Address |
103 N TAYLOR AVE SUITE B |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391738 | Kmo Wellness 1, LLC | Acupuncturist | 12133 Manchester Rd, Des Peres, MO 63131-4310 | 2020-09-16 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1629629977 | Peter Schechter | Acupuncturist | 1901 Arsenal St, Saint Louis, MO 63118-2502 | 2019-09-26 |
| 1285298596 | Cathay Chunhong Fung | Acupuncturist | 1810 Summit St Ste 116, Kansas City, MO 64108-2109 | 2019-04-23 |
| 1619437712 | Run Wang | Acupuncturist | 1010 Carondelet Dr Ste 140, Kansas City, MO 64114-4821 | 2019-03-23 |
| 1417449901 | Stefen Fox Shatto | Acupuncturist | 2600 Forum Blvd Ste B2, Columbia, MO 65203-6343 | 2018-05-31 |
| 1467966226 | Jennifer Wyatt | Acupuncturist | 406 W 34th St Ste 511, Kansas City, MO 64111-2788 | 2017-11-30 |
| 1518310457 | Brandi West | Acupuncturist | 7235 Central St, #14, Kansas City, MO 64114-5717 | 2016-07-15 |
| 1861843500 | Paradigm Holistic Health Center | Acupuncturist | 127 Calwood Dr, Saint Peters, MO 63376-3561 | 2016-06-23 |
| 1760830822 | Mary Wallis | Acupuncturist | 895 Rue Saint Francois, Florissant, MO 63031-4923 | 2016-05-31 |
| 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.