SARAH BETH JACKSON (NPI# 1316576523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316576523 |
| Entity Type | Individual |
| Full Name | SARAH BETH JACKSON |
| Credential | DDS |
| Practice Address |
440 E Tampa St Springfield MO 65806-1131 |
| Mailing Address |
305 Laurence Dr Heath TX 75032-2077 |
| Practice Telephone | 4178310150 |
| Mailing Telephone | 2145367738 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1043776404 | Sarah Lynn Jackson | Registered Nurse | 985 Forest Mills Rd, Waukon, IA 52172-7574 | 2019-02-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1295284552 | Sarah Jackson | Nurse Practitioner | 111 S Magnolia Dr Ste 10, Tallahassee, FL 32301-2956 | 2016-09-28 |
| 1124409891 | Sarah R Jackson | Social Worker | 625 W Elk Grove Blvd, Elk Grove Village, IL 60007-4261 | 2015-06-17 |
| 1154725299 | Sarah Jackson | Registered Nurse | 777 S Fry Rd Ste 105, Katy, TX 77450-2297 | 2014-10-17 |
| 1992082556 | Sarah Jackson | Nurse Practitioner | 406 W South Jordan Pkwy Ste 500, South Jordan, UT 84095-3945 | 2011-11-10 |
| 1407160195 | Sarah Brook Jackson | Counselor | Hc 61 Box 272-4, Sallisaw, OK 74955-9440 | 2010-08-05 |
| 1578898771 | Sarah Cooper Jackson | Pediatrics | 25 W. Hickman Road, Suite 300, Waukee, IA 50263-5018 | 2009-10-06 |
| 1780821165 | Sarah Danielle Jackson | Occupational Therapy Assistant | 104 Mullen Dr, De Queen, AR 71832-8047 | 2009-01-07 |
| Street Address |
440 E TAMPA ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468411 | Della Goodwin | Social Worker | 440 E Tampa St, Springfield, MO 65806-1131 | 2005-06-24 |
| 1144829466 | Marianette Colon Laboy | Psychologist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-10-19 |
| 1942839410 | Darius William Sanford | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-06 |
| 1639707649 | Trent Duane Madsen | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1457988453 | Chelsea Runez Brown | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1043845993 | Hallie Casteel | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-10 |
| 1588298228 | Chelsea Houser | Nurse Practitioner | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-02 |
| 1104458207 | Linsey Denney | Occupational Therapist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-02-06 |
| 1962052092 | Adeline Limmex | Counselor | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-09-20 |
| 1780246603 | Abigail Grace Fincel | Dentist | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773361 | Aarika Danielle Gardner | Student in an Organized Health Care Education/Training Program | 560 W Bryant Apt D207, Springfield, MO 65810-8329 | 2020-08-31 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1659995694 | Erin Bowler | Student in an Organized Health Care Education/Training Program | 51 Ingersoll Grv, Springfield, MA 01109-4010 | 2020-06-05 |
| 1063035483 | Mary Anne Iellamo | Student in an Organized Health Care Education/Training Program | 3400 Main St Fl 2, Springfield, MA 01199-1003 | 2020-05-20 |
| 1760005359 | Hannah Elizabeth Schumann | Student in an Organized Health Care Education/Training Program | 1621 E Lark St, Springfield, MO 65804-4351 | 2020-05-18 |
| 1962024109 | Brittany Nicole Campbell | Student in an Organized Health Care Education/Training Program | 2266 Boysenberry Ln Apt 4, Springfield, IL 62711-5414 | 2020-05-11 |
| 1518587286 | Emily Lyn Street | Student in an Organized Health Care Education/Training Program | 38 Country Pl, Springfield, IL 62703-5310 | 2020-04-22 |
| 1730709411 | Mary Kathleen Simon | Student in an Organized Health Care Education/Training Program | 1820 S Wiggins Ave, Springfield, IL 62704-3335 | 2020-04-22 |
| 1225658131 | Sarah Colby Mchugh | Student in an Organized Health Care Education/Training Program | 759 Chestnut St # S5427, Springfield, MA 01199-0001 | 2020-04-21 |
| 1346879889 | Ashly Seby | Student in an Organized Health Care Education/Training Program | 86 Redwood Rd Fl 3, Springfield, NJ 07081-2426 | 2020-04-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
Please comment or provide details below to improve the information on SARAH BETH 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.