DR. BEVERLY P JACKSON (NPI# 1336465913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336465913 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY P JACKSON |
| Credential | Ň.D. |
| Practice Address |
19 Silk St Norwalk CT 06850-2916 |
| Practice Telephone | 2039622995 |
| Mailing Telephone | 2039622995 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2016-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | ND00001 FEDERAL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608391 | Beverly J Jackson | Registered Nurse | 817 Briarcreek Dr, Baytown, TX 77521-3473 | 2018-08-08 |
| 1023548591 | Beverly Jackson | Nurse Practitioner | 608 Pine Pass Circle, Mineral Bluff, GA 30559 | 2017-06-15 |
| 1891263125 | Beverly Jackson | Speech-Language Pathologist | 4511 Bestor Dr, Rockville, MD 20853-2100 | 2018-11-05 |
| 1154898468 | Beverly Jackson | Case Manager/Care Coordinator | 2017 Hudson Ln, Monroe, LA 71201-5705 | 2018-10-25 |
| 1871902247 | Beverly Jackson | Community Based Residential Treatment Facility, Mental Illness | 1100 W 6th Ave, Gary, IN 46402-1711 | 2014-08-10 |
| 1477814424 | Beverly Yvonne Jackson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2012-06-06 |
| 1891052619 | Beverly L Jackson | Occupational Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-04-18 |
| 1245507813 | Beverly High Jackson | Pharmacist | 2950 S Blue Angel Pkwy, Pensacola, FL 32506-6905 | 2011-11-25 |
| 1750606539 | Beverly Anne Jackson | Counselor | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2010-04-05 |
| 1134254618 | Beverly Jackson | Nurse Practitioner | 2065 Herschel St, Jacksonville, FL 32204-3817 | 2007-02-23 |
| Street Address |
19 SILK ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699179341 | Dynutrix, LLC | Specialist | 19 Silk St, Norwalk, CT 06850-2916 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
| 1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
| 1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
| 1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
| 1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
| 1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
| 1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
| 1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
| 1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
| 1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
| Find all providers in zip 06850 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019737 | Clarivel Dominguez | Nutritionist | 13109 Curtis and King Rd, Norwalk, CA 90650-2152 | 2017-08-22 |
| 1427467745 | Cheryl Ann Bonomo | Nutritionist | 122 Stuart Ave, Norwalk, CT 06850-3130 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801154 | Stephanie Lynn Burr | Nutritionist | 57 Van Orman St, Oakville, CT 06779-1922 | 2020-11-04 |
| 1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
| 1609499474 | Bawse Sauce LLC | Nutritionist | 43 Crescent St Ste 20, Stamford, CT 06906-1853 | 2020-05-27 |
| 1861027328 | Sarah Farid-chaudhry | Nutritionist | 135 Day St Ste 202, Newington, CT 06111-1244 | 2020-03-05 |
| 1700425915 | Kathleen M Hutter | Nutritionist | 11 Columbia Lndg, Columbia, CT 06237-1304 | 2020-01-06 |
| 1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
| 1568021921 | Kara Ganssle Pachniuk | Nutritionist | 15 Meadowood Ln, Old Saybrook, CT 06475-1806 | 2019-06-10 |
| 1841858495 | Melissa Litwak | Nutritionist | 77 Fieldstone Rd, Stamford, CT 06902-2575 | 2019-05-30 |
| 1962066423 | Dannielle Lynn Jascot | Nutritionist | 31 Stable Ln, Middletown, CT 06457-2131 | 2019-04-30 |
| 1043776461 | Amy L Ashinghurst | Nutritionist | 2934 Main St Uppr Level, Glastonbury, CT 06033-1027 | 2019-02-11 |
| 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.