KIMBERLY JACKSON (NPI# 1184244063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184244063 |
| Entity Type | Individual |
| Full Name | KIMBERLY JACKSON |
| Credential | MT-BC |
| Practice Address |
121 Koeppe Dr Sequim WA 98382-9489 |
| Practice Telephone | 4085404195 |
| Mailing Telephone | 4085404195 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951394 | Kimberly Sue Jackson | Home Health Aide | 26 W Warner Rd, Coventry Township, OH 44319-1732 | 2020-10-29 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1386188332 | Kimberly Jackson | Dietitian, Registered | 2318 Longcourt Way Se, Atlanta, GA 30339-0902 | 2016-12-10 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1639535719 | Kimberly Renee Jackson | Massage Therapist | 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 | 2016-01-05 |
| 1275934887 | Kimberly Jackson | Counselor | 213 Barrett St, Wilmington, DE 19802-2004 | 2014-09-15 |
| 1972930279 | Kimberly Jackson | Nurse's Aide | 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 | 2013-10-01 |
| 1871836395 | Kimberly D. Jackson | Speech-Language Pathologist | 270 Creekview Blvd, Covington, GA 30016-7693 | 2013-04-03 |
| Street Address |
121 KOEPPE DR |
| City | SEQUIM |
| State | WA |
| Zip Code | 98382-9489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032841 | Dale I King | Technician | 512 Lostwood Lane, Sequim, WA 98382 | 2019-09-19 |
| 1831661164 | Katheryn Murray | Community Health Worker | 80 Spencer Rd Spc 10, Sequim, WA 98382 | 2018-12-27 |
| 1306314349 | Tera Joyce Phillips | Counselor | 112 S Solmar Dr, Sequim, WA 98382 | 2018-11-07 |
| 1275025595 | Peninsula Counseling | Social Worker | 435 West Bell St Suite D, Sequim, WA 98382 | 2018-06-01 |
| 1437661816 | Kathryn Elizabeth Sanford | Registered Nurse | 720 Carlsborg Rd, Sequim, WA 98382 | 2017-10-25 |
| 1407271935 | Hoa Lien Trinh | Denturist | 124 W. Spruce St., Sequim, WA 98382 | 2014-02-20 |
| 1306267323 | Pamela Hursey-king | Occupational Therapist | 600 West Hemlock St, Sequim, WA 98382 | 2013-12-17 |
| 1821419060 | Cortney Woodford | Speech-Language Pathologist | 600 West Hemlock Street, Sequim, WA 98382 | 2013-12-13 |
| 1851638043 | Sonja Ann Bittner | Registered Nurse | 503 North Sequim Ave, Sequim, WA 98382 | 2013-01-09 |
| 1063796175 | Peak Performance Therapy LLC | Occupational Therapist | 519 Eureka Way, Suite 2, Sequim, WA 98382 | 2011-10-07 |
| Find all providers in zip 98382 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639586 | David Lowell Melbye | Music Therapist | 1393 E Axton Rd, Bellingham, WA 98226-9755 | 2020-11-03 |
| 1730708553 | Kurt Blomquist | Music Therapist | 19603 27th Ave Nw, Shoreline, WA 98177-2953 | 2020-04-11 |
| 1346873619 | David Knott | Music Therapist | 4010 Lexington Pl S, Seattle, WA 98118-1351 | 2020-02-14 |
| 1174177075 | Lauren Swiderski | Music Therapist | 316 S I St, Tacoma, WA 98405-4212 | 2019-07-29 |
| 1366900334 | Daisie A Sutton | Music Therapist | 21723 E Terra Ln Se, Yelm, WA 98597-9026 | 2019-03-07 |
| 1013483726 | Alicia Lee Kathryn Mcgee | Music Therapist | 14514 165th Ave Se, Renton, WA 98059-7959 | 2018-10-19 |
| 1922550961 | Danielle Valdes | Music Therapist | 7415 5th Ave Ne, Apt. 402, Seattle, WA 98115-5377 | 2016-10-25 |
| 1205286226 | Christina Pansegrau | Music Therapist | 2280 Ne Ellis Way Apt B4, Pullman, WA 99163-5585 | 2016-06-21 |
| 1881042455 | Emily Newcomer | Music Therapist | 431 Nw 100th Pl Apt 303, Seattle, WA 98177-4953 | 2016-05-24 |
| 1306292792 | Emily Perna | Music Therapist | 733 N 105th St, Seattle, WA 98133-9232 | 2016-05-04 |
| 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.