MRS. MICHELLE LEIGH JACKSON (NPI# 1275724718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275724718 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE LEIGH JACKSON |
| Credential | R. D. |
| Practice Address |
3224 Elua St Lihue HI 96766-1213 |
| Mailing Address |
2226 Liliha St Suite 226 Honolulu HI 96817-1600 |
| Practice Telephone | 8082453770 |
| Practice Fax Number | 8082452390 |
| Mailing Telephone | 8085854600 |
| Mailing Fax Number | 8085854601 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
RD-884886 | HI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434067 | Michelle Jackson | Behavior Technician | 6961 Rooks Ct Apt 305, Frederick, MD 21703-2781 | 2020-07-16 |
| 1790347722 | Michelle Lynn Jackson | Family Medicine | 456 Circle Dr, Kewanee, IL 61443-3622 | 2019-06-29 |
| 1396301487 | Michelle Jackson | Technician | 14000 Castle Blvd Apt 703, Silver Spring, MD 20904-4640 | 2019-05-14 |
| 1184196685 | Michelle Maria Jackson | Health Educator | 220 E 89th St, Brooklyn, NY 11236-1418 | 2018-12-20 |
| 1396253258 | Michelle Laray Jackson | Counselor | 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2018-01-12 |
| 1427509173 | Michelle Jackson | Behavioral Analyst | 115 Franklin St Ne Apt H21, Washington, DC 20002-1091 | 2016-10-18 |
| 1891193678 | Michelle Jackson | Occupational Therapy Assistant | 12611 Hickman Pl, Denver, CO 80239-6204 | 2014-12-10 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1699058008 | Michelle A Jackson | Occupational Therapist | 6045 Ashford Ln, Unit 102, Naples, FL 34110-2416 | 2011-09-21 |
| 1285923185 | Michelle Ann Jackson | Rehabilitation Practitioner | 7124 Diving Petrels Pl, 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 | 2011-03-31 |
| Street Address |
3224 ELUA ST |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171588 | Liberty Dialysis Hawaii, LLC | Clinic/Center | 3224 Elua St, Lihue, HI 96766-1213 | 2006-06-12 |
| 1669535035 | St. Francis Medical Center - Kauai Dialysis | Clinic/Center | 3224 Elua St, Lihue, HI 96766-1213 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760635601 | Diana J.v. Franklin | Dietitian, Registered | 98-1005 Moanalua Rd Spc 420, Ckd Services of Pearlridge, Aiea, HI 96701-4702 | 2008-10-23 |
| 1134313356 | Lisa Ann Lai Wah Morita | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-30 |
| 1871786178 | Shirley Seeger | Dietitian, Registered | 98-1005 Moanalua Rd, Ste. 420, Ckd Services of Pearlridge, Aiea, HI 96701-4777 | 2007-08-21 |
| 1770774200 | Kayoko Miyama Kashiwatani | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-08 |
| 1750572285 | Michelle Aguilar Rarama | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-08 |
| 1104017649 | Cathleen Tomie Sanpei | Dietitian, Registered | 91-2137 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2007-08-08 |
| 1649461161 | Aileen Aiko Ueunten | Dietitian, Registered | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2007-08-08 |
| 1558413344 | Raenell R Nakagawa | Dietitian, Registered | 98-1005 Moanalua Rd, Ste 420 - Ckd Services of Pearlridge, Aiea, HI 96701-4777 | 2007-01-18 |
| 1104921337 | Erlinda Sanguyo Peralta | Dietitian, Registered | 86-080 Farrington Hwy, Suite 101, Waianae, HI 96792-3069 | 2006-09-13 |
Please comment or provide details below to improve the information on MRS. MICHELLE LEIGH 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.