JOHN JACKSON (NPI# 1184164493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184164493 |
| Entity Type | Individual |
| Full Name | JOHN JACKSON |
| Practice Address |
137 S Newport Ave Newport WA 99156-1942 |
| Mailing Address |
Po Box 1942 Newport WA 99156-1942 |
| Practice Telephone | 5094471200 |
| Practice Fax Number | 5094471201 |
| Mailing Telephone | 5094471200 |
| Mailing Fax Number | 5094471201 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | PARA.ED.00104712 | WA | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| 1720162779 | John Andrew Jackson | Dentist | 600 Division Ave, Suite E., San Antonio, TX 78214-1350 | 2006-10-25 |
| Street Address |
137 S NEWPORT AVE |
| City | NEWPORT |
| State | WA |
| Zip Code | 99156-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902339849 | Pend Oreille Paramedics | Ambulance | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
| 1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
| 1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
| 1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
| 1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
| 1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
| 1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
| 1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
| 1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
| 1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
| Find all providers in zip 99156 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619416344 | Deborah Lee Jagotka | Emergency Medical Technician, Paramedic | 5922 Leroux Rd, Newport, MI 48166-9509 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185163 | Eric Koreis | Emergency Medical Technician, Paramedic | 740 Commerce Ave, Longview, WA 98632-2416 | 2020-02-10 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1457807174 | Nathan Ziegman | Emergency Medical Technician, Paramedic | 4259 23rd Avenue West, Seattle, WA 98199 | 2016-09-01 |
| 1730534629 | Chance Shaffner | Emergency Medical Technician, Paramedic | 1117 14th St, Anacortes, WA 98221-2127 | 2016-04-27 |
| 1083084743 | Marcos Collazo | Emergency Medical Technician, Paramedic | 4259 23rd Ave W Ste 200, Seattle, WA 98199-1534 | 2015-10-06 |
| 1972994135 | Eric Perkins | Emergency Medical Technician, Paramedic | 14971 Deception Rd, Anacortes, WA 98221-8229 | 2015-02-10 |
| 1720484231 | Christopher John Washburn | Emergency Medical Technician, Paramedic | 6386 Chico Way Nw, Bremerton, WA 98312-1154 | 2014-11-10 |
| 1699187740 | Patrick Moe | Emergency Medical Technician, Paramedic | 5648 E Hillcrest Dr, Port Orchard, WA 98366-8120 | 2014-05-23 |
| 1194985499 | Lisa Hall | Emergency Medical Technician, Paramedic | 1505 Kal-ook-wah Drive, Taholah, WA 98587 | 2008-06-11 |
| 1285128884 | Jeffrey James Poland | Emergency Medical Technician, Paramedic | 2019 Jefferson St, Shelton, WA 98584-2042 | 2018-06-18 |
| 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.