TARA JACKSON (NPI# 1184076812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184076812 |
| Entity Type | Individual |
| Full Name | TARA JACKSON |
| Credential | M.ED. |
| Practice Address |
260 Peachtree St Nw Ste 2200 Atlanta GA 30303-1292 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 4049314220 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144632837 | Tara Jackson | Physical Therapy Assistant | 303 North Hurstbourne Parkway, Suite 200, Louisville, KY 40222 | 2014-05-29 |
| 1578900510 | Tara M Jackson | Counselor | 1911 Main Ave Ste 248, Durango, CO 81301-5077 | 2013-05-31 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1578164679 | Tara Jackson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1124583653 | Tara Y. Jackson | Registered Nurse | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2019-02-08 |
| 1790028082 | Tara Leigh Jackson | Nurse Practitioner | 123 James River & Kanawha Turnpike, Ansted, WV 25812 | 2013-04-04 |
| 1750630505 | Tara Jackson | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2012-09-06 |
| 1184979098 | Tara Jackson | Nurse Practitioner | 6675 Holmes Rd, Suite 400, Kansas City, MO 64131-1150 | 2012-07-17 |
| 1992081343 | Tara Renae Jackson | Nurse Anesthetist, Certified Registered | 13737 Noel Rd, Ste 1400, Dallas, TX 75240-2004 | 2011-10-31 |
| 1063625184 | Tara Sauls Jackson | Pharmacist | 412 Johnson St Se, Dawson, GA 39842-1523 | 2007-05-07 |
| Street Address |
260 PEACHTREE ST NW STE 2200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669547493 | Katherine Michelle Andrade | Counselor | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2006-11-20 |
| 1891395224 | Maday Beltrons Diaz | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-10-26 |
| 1205435443 | Shatasha Thornton | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-10-19 |
| 1710585807 | Lindsay Marie Farrall | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-10-12 |
| 1316553159 | Mahrie Bowman | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-09-17 |
| 1194338921 | Henrietta Harvey | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-08-31 |
| 1396358487 | Erin Russell | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-08-28 |
| 1487267696 | Jordan Avery | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-08-26 |
| 1144832999 | Nitanna Glenn-irvin | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-08-21 |
| 1225640659 | Abagail Ludwig | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487075040 | Wynter Bryant | Developmental Therapist | 3607 Uppark Dr, Atlanta, GA 30349-8733 | 2013-12-30 |
| 1790048197 | Alyssa Rouse | Developmental Therapist | 20 Marietta St Nw Apt 5b, Atlanta, GA 30303-2822 | 2012-06-20 |
| 1396902664 | Nancy Anne Wrage | Developmental Therapist | 2324 1250th Ave, Atlanta, IL 61723-9336 | 2008-05-22 |
| 1003469339 | Positive Differences Aba | Developmental Therapist | 1100 Peachtree St Ne Ste 200, Atlanta, GA 30309-4829 | 2019-07-16 |
| 1750867511 | Dominique Wilson | Developmental Therapist | 1017 Fayetteville Rd Se # B, Atlanta, GA 30316-2932 | 2018-07-16 |
| 1912412610 | Denaya Robbins | Developmental Therapist | 115 Perimeter Center Pl Ne, Atlanta, GA 30346 | 2017-12-05 |
| 1275076317 | Gjafreone Alysandra Nicole Onidas-gibson | Developmental Therapist | 260 Peachtree St Nw, Suite 2200, Atlanta, GA 30303-1202 | 2016-11-21 |
| 1609325893 | Ronnieka Key | Developmental Therapist | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2016-09-28 |
| 1720537194 | Lehel Somogyi | Developmental Therapist | 260 Peachtree St Nw, Suite 2200, Atlanta, GA 30303-1202 | 2016-09-27 |
| 1992254304 | Taylor Kristan | Developmental Therapist | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2016-09-27 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on TARA 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.