MRS. TAKIYA NACHELLE JACKSON (NPI# 1346718228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346718228 |
| Entity Type | Individual |
| Full Name | MRS. TAKIYA NACHELLE JACKSON |
| Credential | M.ED |
| Practice Address |
2700 S Lang St Arlington VA 22206-3106 |
| Mailing Address |
2100 Washington Blvd Arlington VA 22204-5703 |
| Practice Telephone | 7032286943 |
| Mailing Telephone | 7032286061 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
PPS-0606160 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2700 S LANG ST |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22206-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354052 | Kayla Criswell | Behavior Technician | 4510 31st Street, Apt 204, Arlington, VA 22206 | 2019-12-22 |
| 1336650852 | Roman De Los Santos | Dentist | Blvd Cucacpah #212, Jijuana, BAJA CALIFORNIA 22206 | 2017-10-24 |
| 1104337179 | Chandra Jeanne Burnside | Registered Nurse | 4654a 36th Street South, Arlington, VA 22206 | 2017-10-18 |
| 1861912784 | Bonnie Schultz | Social Worker | 4537a 28th Rd S., Arlington, VA 22206 | 2017-06-21 |
| 1477093201 | Roxana Estrada | Dentist | 23678-b Luisa Martinez, Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2017-02-27 |
| 1073063095 | Alfredo Soto Navarrete | General Acute Care Hospital | Hermenegildo Galeana 22412, Ejido Francisco Villa, Tijuana, BAJA CALIFORNIA 22206 | 2016-10-13 |
| 1245681238 | Wendolyne Nashelly Corona Leal | Dentist | Ave Isla Tiburon 3662, Lamas Del Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2016-06-30 |
| 1659784304 | Christine Brown Wright | Audiologist | 4714 30th Street South, Arlington, VA 22206 | 2014-06-10 |
| 1538583653 | Fernellas Quality Care | Nutritionist | 2300 24th Road South #624, Arlington, VA 22206 | 2014-02-10 |
| 1851637532 | Umera Abdullah Thebo | Internal Medicine | 2270 S Garfield Street, Unit #4, Arlington, VA 22206 | 2012-12-27 |
| Find all providers in zip 22206 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124581475 | Lisa Nemeth | Psychologist | 2110 Washington Bvld, Office of Student Services, Arlington, VA 22204 | 2019-04-12 |
| 1114411469 | Marjory Spencer Franklin | Psychologist | 855 N Edison St, Arlington, VA 22205-1209 | 2018-06-20 |
| 1316431869 | Shannon Odom | Psychologist | Arlington Public Schools Child Find, 2110 Washington Blvd, Arlington, VA 22204 | 2018-06-19 |
| 1437649142 | Yesecan Ege | Psychologist | 2110 Washington Blvd Fl 2, Arlington, VA 22204-5719 | 2018-05-17 |
| 1417385717 | Andrea Delaney | Psychologist | 901 N Nelson St, Apt. 812, Arlington, VA 22203-1937 | 2013-10-23 |
| 1225360274 | Richard Stephen Murphy | Psychologist | 28 Hayes St, Arlington, MA 02474-2315 | 2010-02-02 |
| 1679189864 | Amy Austin Nemeth | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2020-09-22 |
| 1043826225 | Stephanie Mcdaniel | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2020-09-22 |
| 1700492915 | Kelly Pontera | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2020-09-22 |
| 1992310452 | Amy Cannava | Psychologist | 1325 S Dinwiddie St, Arlington, VA 22206-1082 | 2020-09-11 |
| Find all providers in ARLINGTON | ||||
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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.