TABITA JACKSON (NPI# 1316004880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316004880 |
| Entity Type | Individual |
| Full Name | TABITA JACKSON |
| Practice Address |
224 Fulton St E Grand Rapids MI 49503-3211 |
| Mailing Address |
5000 Cheshire Ln N Plymouth MN 55446-3706 |
| Practice Telephone | 6164597122 |
| Practice Fax Number | 6164593277 |
| Mailing Telephone | 8883339152 |
| Mailing Fax Number | 7632684240 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3500104616 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
224 FULTON ST E |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033746383 | Jennifer Tellefson | Hearing Instrument Specialist | 504 Nw 1st Ave Ste 290, Grand Rapids, MN 55744-2668 | 2020-03-26 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1841519154 | Rick Edward Dymond | Hearing Instrument Specialist | 3665 28th St Se, Suite 6d, Grand Rapids, MI 49512-1684 | 2010-05-26 |
| 1821249558 | Benjamin Norris | Hearing Instrument Specialist | 1000 3 Mile Rd Nw, Grand Rapids, MI 49544-1650 | 2008-09-30 |
| 1619143518 | Ruhling Enterprises Inc | Hearing Instrument Specialist | 4598 Plainfield Ne, Grand Rapids, MI 49525 | 2008-05-01 |
| 1447371166 | Curtis Wayne Larson | Hearing Instrument Specialist | 1275 S Pokegama Ave, Grand Rapids, MN 55744-4208 | 2007-04-02 |
| 1215087762 | Regina Jo Vanderklok | Hearing Instrument Specialist | 4598 Plainfield Ave Ne, Grand Rapids, MI 49525-1645 | 2007-01-10 |
| 1245277839 | Mcdonald Hearing Aid, Inc. | Hearing Instrument Specialist | 330 Fuller Ave Ne, Grand Rapids, MI 49503-3631 | 2006-06-01 |
| 1306849997 | Therese L Wolf | Hearing Instrument Specialist | 734 Alger St Se, Ste 200, Grand Rapids, MI 49507-3593 | 2005-05-27 |
| 1639717614 | Robert Barry | Hearing Instrument Specialist | 2090 Celebration Dr Ne, Grand Rapids, MI 49525-9200 | 2019-12-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on TABITA 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.