CRYSTAL JACKSON (NPI# 1215288865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215288865 |
Entity Type | Individual |
Full Name | CRYSTAL JACKSON |
Practice Address |
1018 Mosskag Ct North Las Vegas NV 89032-7696 |
Practice Telephone | 7023582155 |
Mailing Telephone | 7023582155 |
Enumeration Date | 2012-09-23 |
Last Update Date | 2012-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265081384 | Crystal Jackson | Specialist/Technologist | 2426 Cairns Mill Ct, Charlotte, NC 28269-4083 | 2019-09-11 |
1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
1598140725 | Crystal Jackson | Licensed Practical Nurse | 1585 Holloway Ray Rd, Mc Intyre, GA 31054-2469 | 2015-07-29 |
1336560861 | Crystal Jackson | Counselor | 579 Pimlico Cir, Whitsett, NC 27377-8713 | 2013-12-31 |
1083879837 | Crystal B Jackson | Specialist | 700 Southlake Cir, Youngsville, LA 70592-5671 | 2008-07-22 |
1255595948 | Crystal A. Jackson | Psychologist | 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 | 2008-07-11 |
1659986586 | Crystal E Jackson | Behavior Technician | 6622 N Maroa Ave, Fresno, CA 93704-1209 | 2020-09-08 |
1093349367 | Crystal Jackson | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2020-02-26 |
1437796919 | Crystal Rena Jackson | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
1255981130 | Crystal L Jackson | Case Manager/Care Coordinator | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2019-09-12 |
Street Address |
1018 MOSSKAG CT |
City | NORTH LAS VEGAS |
State | NV |
Zip Code | 89032-7696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
Find all providers in zip 89032 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891314084 | Devin Michael Thrower | Rehabilitation Practitioner | 6616 Night Owl Bluff Ave, North Las Vegas, NV 89084-2027 | 2020-04-08 |
1790329175 | Martin Solomon Katz | Rehabilitation Practitioner | 3004 Pumpkin Harvest Ave, North Las Vegas, NV 89031-0393 | 2019-10-29 |
1851854814 | Robert A Taylor | Rehabilitation Practitioner | 719 Glenwood Springs Ave, North Las Vegas, NV 89032-7689 | 2019-04-08 |
1932661774 | Kiara R Savannah | Rehabilitation Practitioner | 2604 Campobello Ave, North Las Vegas, NV 89081-2423 | 2019-04-02 |
1174093538 | Francesca Nicole Tan Mangisel | Rehabilitation Practitioner | 3131 W Craig Rd Ste 108, North Las Vegas, NV 89032-0780 | 2018-11-28 |
1295213775 | Sheila O'neal | Rehabilitation Practitioner | 5135 Camino Al Norte # 115, North Las Vegas, NV 89031-2387 | 2018-08-06 |
1043705742 | Napoleon Stuckey | Rehabilitation Practitioner | 3924 Carla Ann Rd, North Las Vegas, NV 89081-4086 | 2018-06-25 |
1285129908 | Tyler Stuckey | Rehabilitation Practitioner | 3955 Keasberry Ave, North Las Vegas, NV 89081-6692 | 2018-06-25 |
1528553237 | Sean Reeder | Rehabilitation Practitioner | 4033 Grant Hill Ave, North Las Vegas, NV 89081-6648 | 2018-06-25 |
1467947457 | Karina Marie Flores | Rehabilitation Practitioner | 4349 Sharpshooter Ln, North Las Vegas, NV 89031-2197 | 2018-06-22 |
Find all providers in NORTH LAS VEGAS |
City | NORTH LAS VEGAS |
Zip Code | 89032 |
Please comment or provide details below to improve the information on CRYSTAL 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.