MS. MICHELE ALLYN JACKSON (NPI# 1346228376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346228376 |
| Entity Type | Individual |
| Full Name | MS. MICHELE ALLYN JACKSON |
| Credential | CNM, ARNP |
| Practice Address |
12303 Ne 130th Ln Suite 500 Kirkland WA 98034-3099 |
| Mailing Address |
7622 66th Pl Ne Marysville WA 98270-6593 |
| Practice Telephone | 4258994455 |
| Practice Fax Number | 4258994434 |
| Mailing Telephone | 3606588791 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP30006675 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MQ0143850 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031753 | Michele Jackson | Social Worker | 2306 Verona Ct, Harker Heights, TX 76548-8855 | 2019-06-11 |
| 1477895084 | Michele Jackson | Registered Nurse | 21 23 Grand Street, Newburgh, NY 12550 | 2013-03-21 |
| 1013292929 | Michele Mary Jackson | Specialist | 5669 Wendy Cir, Lockport, NY 14094-6015 | 2011-10-12 |
| 1558855825 | Michele Jackson | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-19 |
| 1558782920 | Michele Marie Jackson | Nurse Practitioner | 801 W 1st St, San Juan, TX 78589 | 2014-01-02 |
| 1598193773 | Michele Rae Anne Jackson | Social Worker | 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 | 2013-10-24 |
| 1740411636 | Michele Denise Jackson | Counselor | 10700 Macarthur Blvd, Ste 12, Oakland, CA 94605-5298 | 2009-07-27 |
| 1033214291 | Michele D Jackson | Physical Therapist | 1901 S Cedar St Ste B1, Tacoma, WA 98405-2305 | 2006-09-13 |
| Street Address |
12303 NE 130TH LN SUITE 500 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
| 1598238966 | Transform Weight Loss LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1720551195 | Peter S. Billing Md LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1043695190 | Amy Bartnikowski | Advanced Practice Midwife | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2015-07-29 |
| 1003290073 | Xuemei Su | Nurse Practitioner | 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034-3099 | 2015-07-19 |
| 1770913055 | Jocelyn Halverson | Nurse Practitioner | 12303 Ne 130th Ln, Ms 26, Kirkland, WA 98034-3099 | 2013-11-22 |
| 1073940219 | Rolin Alan Pruyn | Physician Assistant | 12303 Ne 130th Ln, Suite 550, Kirkland, WA 98034-3099 | 2013-10-02 |
| 1205137213 | Jennifer Anne Hamblett Mohr | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 225, Kirkland, WA 98034-3099 | 2010-11-07 |
| 1447563267 | Lisa Marguerite Arnold | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2010-07-21 |
| 1801107271 | Misung Kim | Internal Medicine | 12303 Ne 130th Ln, Suite 250, Kirkland, WA 98034-3099 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831262625 | Wilma A. Sameshima | Nurse Practitioner | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-17 |
| 1598711715 | Barbara A Plovie | Nurse Practitioner | 12303 Ne 130th Ln, Suite 400, Kirkland, WA 98034-3099 | 2006-05-26 |
| 1114905114 | Carol Ann Verga | Nurse Practitioner | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647544 | Rashelle Christine Schenkenberger | Nurse Practitioner | 13107 E 25th Ave, Spokane Valley, WA 99216-2516 | 2019-12-30 |
| 1801353750 | Geri Lynne Van Dyken | Nurse Practitioner | 400 Liberty St, Lynden, WA 98264-1939 | 2019-02-27 |
| 1770054223 | Anacortes Midwifery Care LLC | Nurse Practitioner | 1015 6th St Ste 102, Anacortes, WA 98221-1798 | 2018-12-10 |
| 1740756360 | Natalia V Haire | Nurse Practitioner | 1105 Division Ave Ste 101, Tacoma, WA 98403-1646 | 2018-10-22 |
| 1912368127 | Alicia Darr | Nurse Practitioner | 201 Nw Birch St, Coupeville, WA 98239-3129 | 2016-03-15 |
| 1356613319 | Cynthia Anderson | Nurse Practitioner | 1525 Se King Dr, Pullman, WA 99163-7014 | 2012-02-06 |
| 1356575807 | Ashley Rebecca Wilson | Nurse Practitioner | 1525 Se King Drive, Pullman, WA 99163 | 2009-05-13 |
| 1902057250 | Kathryn Jane Austin | Nurse Practitioner | 534 Catherine St, Walla Walla, WA 99362-3130 | 2008-10-06 |
| 1770709107 | Ivy M Cameron | Nurse Practitioner | 900 Stevens Dr Ste 203, Richland, WA 99352-3536 | 2007-04-17 |
| 1750433223 | Lauren B Jaye | Nurse Practitioner | 941 S 4th St, La Conner, WA 98257-4717 | 2007-01-17 |
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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.