NATHANAEL ROSS JACKSON (NPI# 1366734758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366734758 |
| Entity Type | Individual |
| Full Name | NATHANAEL ROSS JACKSON |
| Credential | L.M.P. |
| Practice Address |
355 Linhart Ave Ne Napavine WA 98565 |
| Mailing Address |
Po Box 329 Napavine WA 98565 |
| Practice Telephone | 3602668800 |
| Practice Fax Number | 3602668700 |
| Mailing Telephone | 3602668800 |
| Mailing Fax Number | 3602668700 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60208070 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457853376 | Nathanael Jackson | Case Manager/Care Coordinator | 625 Cleveland Ave Nw, Canton, OH 44702-1805 | 2018-03-07 |
| Street Address |
355 LINHART AVE NE |
| City | NAPAVINE |
| State | WA |
| Zip Code | 98565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477860781 | Rhonda Jo O'brien-farrar | Massage Therapist | 355 Linhart Ave Ne, Napavine, WA 98565 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087563 | Melissa Ann Yackley | Registered Nurse | 100 E Grand Blvd, Napavine, WA 98565 | 2017-11-30 |
| 1326407677 | Brianne Brumback | Specialist | 355 Linhart Ave.ne, Napavine, WA 98565 | 2016-02-15 |
| 1619213758 | The Family Health Clinic of Chiropractic, Ps | Chiropractor | 101 E Washington, Napavine, WA 98565 | 2012-12-18 |
| 1548542988 | Spencer Blosl | Specialist | 355 Linhart Avenue Ne, Napavine, WA 98565 | 2011-09-12 |
| 1972744183 | Sherri L Heilman | Specialist | 355 Linhart Ave, Napavine, WA 98565 | 2009-03-18 |
| 1396892543 | Lewis County | Ambulance | 129 2nd Ave, Napavine, WA 98565 | 2007-01-03 |
| 1316032030 | Robin A Rice | Physician Assistant | 305 Linhart Ave Ne, Napavine, WA 98565 | 2006-10-04 |
| 1508890815 | Napavine School District | Local Education Agency (LEA) | 209 E Park, Napavine, WA 98565 | 2006-07-10 |
| 1275577140 | Napavine Family Chiropractic, Ps | Chiropractor | 355 Linhart Ave. Ne, Napavine, WA 98565 | 2006-06-15 |
| 1164975157 | Lori L Cichosz | Massage Therapist | 106 E Washington St, Napavine, WA 98565 | 2016-07-26 |
| Find all providers in zip 98565 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477860781 | Rhonda Jo O'brien-farrar | Massage Therapist | 355 Linhart Ave Ne, Napavine, WA 98565 | 2010-09-08 |
| 1164975157 | Lori L Cichosz | Massage Therapist | 106 E Washington St, Napavine, WA 98565 | 2016-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 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.