KIMBERLY HATCH JACKSON (NPI# 1215171798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215171798 |
| Entity Type | Individual |
| Full Name | KIMBERLY HATCH JACKSON |
| Credential | ARNP |
| Practice Address |
140 Sw Virginia Cir Mayo FL 32066-4064 |
| Mailing Address |
140 Sw Virginia Cir Po Box 1806 Mayo FL 32066-4064 |
| Practice Telephone | 3862941321 |
| Practice Fax Number | 3862943876 |
| Mailing Telephone | 3862941321 |
| Mailing Fax Number | 3862943876 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9265719 | FL | Physician Assistants & Advanced Practice Nursing 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 |
| 1184244063 | Kimberly Jackson | Music Therapist | 121 Koeppe Dr, Sequim, WA 98382-9489 | 2020-04-21 |
| 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 |
| Street Address |
140 SW VIRGINIA CIR |
| City | MAYO |
| State | FL |
| Zip Code | 32066-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386611085 | Florida Department of Health | Public Health or Welfare | 140 Sw Virginia Cir, Mayo, FL 32066-4064 | 2006-03-02 |
| 1447268354 | Lafayette County Health Department-dental Clinic | Public Health or Welfare | 140 Sw Virginia Cir, Mayo, FL 32066-4064 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358199 | Deep Knead Medspa | Massage Therapist | 117 Nw Monroe Ave, Mayo, FL 32066 | 2013-02-26 |
| 1710233770 | Kristen Hurst | Massage Therapist | 136 North Fletcher Avenue, Mayo, FL 32066 | 2012-07-27 |
| 1942406475 | County of Lafayette Office Clerk Board County Commissioners | Ambulance | 136 S.e. Industrial Avenue, Mayo, FL 32066 | 2007-06-22 |
| 1104041904 | Darcy Regina Sawyers | Massage Therapist | 117 Nw Monroe Ave., Mayo, FL 32066 | 2007-04-16 |
| 1275697526 | Lafayette County School Board | Local Education Agency (LEA) | 386 Ne Crawford St, Mayo, FL 32066 | 2006-12-21 |
| 1487674271 | North Florida Pharmacy of Mayo, Inc | Durable Medical Equipment & Medical Supplies | 229 West Main Street/ Box 1510, Mayo, FL 32066 | 2006-07-21 |
| 1538187539 | Mayo Family Pharmacy, Inc. | Pharmacy | 294 W Main St, Suite 1, Mayo, FL 32066 | 2006-07-17 |
| 1972872315 | Chelsea Mcadams | Massage Therapist | 117 Nw Monroe Ave., Mayo, FL 32066 | 2011-12-14 |
| 1649477670 | Vicky Noling | Pharmacist | 229 W Main St, Mayo, FL 32066 | 2007-07-02 |
| 1962569533 | Lafayette County School Board | Local Education Agency (LEA) | 386 Ne Crawford St, Mayo, FL 32066 | 2007-01-03 |
| Find all providers in zip 32066 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396788808 | Marla Driver | Nurse Practitioner | 117 Sw Virginia Cir, Mayo, FL 32066-4065 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| 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.