AMANDA JACKSON


Address: 205 S Jt Stites, Sallisaw, OK 74955-9301
Phone: 9187757787

AMANDA JACKSON (NPI# 1376041202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376041202
Entity Type Individual
Full Name AMANDA JACKSON
Practice Address 205 S Jt Stites
Sallisaw
OK 74955-9301
Mailing Address 210 N Jt Stites
Sallisaw
OK 74955-9301
Practice Telephone 9187757787
Practice Fax Number 9187750328
Mailing Telephone 9187757787
Mailing Fax Number 9187750328
Enumeration Date 2018-01-25
Last Update Date 2018-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers AMANDA JACKSON

NPI Name Taxonomy Address Enumeration
1669008397 Amanda Jackson Pharmacist 1418a W Main St Ste A, Lebanon, TN 37087-3114 2020-03-13
1730692765 Amanda Lyn Jackson Occupational Therapist 2222 S Rockport Rd, Boonville, IN 47601-7926 2017-11-13
1982143467 Amanda Jackson Occupational Therapist 5305 Reserve Dr Ne, Brookhaven, GA 30319-5924 2017-02-17
1528309473 Amanda Nicole Jackson Licensed Practical Nurse 923 Cottage Ave, Miamisburg, OH 45342-1805 2013-03-01
1013254887 Amanda Meister Jackson Pharmacist 10358 Riverside Dr Ste 140, Palm Beach Gardens, FL 33410-4203 2013-01-13
1285905240 Amanda Jackson Occupational Therapist 1760 Turning Leaf Trl, Haughton, LA 71037-9531 2012-01-23
1245368661 Amanda L Jackson Physical Therapist 17 Carlton Rd, Hutchinson, KS 67502-4423 2007-02-28
1861452112 Amanda Elizabeth Jackson Occupational Therapist 121 Cox St, Benton, AR 72015-4611 2006-03-23
1437763638 Amanda Jackson Pharmacist 7301 Theodore Dawes Rd, Theodore, AL 36582-4029 2020-09-04
1205460045 Amanda Jackson Registered Nurse 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 2020-03-02

Office Location

Street Address 205 S JT STITES
City SALLISAW
State OK
Zip Code 74955-9301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760785919 Ricky Walters Case Manager/Care Coordinator 205 S Jt Stites, Sallisaw, OK 74955 2010-12-09
1467836627 Latosha Bowling Counselor 205 S Jt Stites, Sallisaw, OK 74955-9301 2015-07-16
1326319062 Lester Tate Counselor 205 S Jt Stites, Sallisaw, OK 74955 2012-01-25
1053696138 Michelle Shafer Counselor 205 S Jt Stites, Sallisaw, OK 74955 2011-10-20
1972887370 John Tautfest Counselor 205 S Jt Stites, Sallisaw, OK 74955 2011-10-04
1992088868 Jessica Oliver Counselor 205 S Jt Stites, Sallisaw, OK 74955 2011-09-27
1427357516 Nancy Bigheart Counselor 205 S Jt Stites, Sallisaw, OK 74955 2011-03-15
1760789937 Shellie Poindexter Specialist 205 S Jt Stites, Sallisaw, OK 74955 2011-02-23
1679878326 Kristie Dawn Bradley Case Manager/Care Coordinator 205 S Jt Stites, Sallisaw, OK 74955 2011-01-11
1891098463 John Hembree Case Manager/Care Coordinator 205 S Jt Stites, Sallisaw, OK 74955 2010-12-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063057297 Audrey A. Martin Technician 463508 East 1044 Road, Sallisaw, OK 74955 2019-11-12
1013472356 Christopher Alan Bush Registered Nurse 301 Jt Stites, Sallisaw, OK 74955 2019-01-31
1174098941 Sequoyah County Drug Company Pllc Pharmacy 1632 S Kerr Blvd, Sallisaw, OK 74955 2018-10-09
1720570609 Stephanie Choate Registered Nurse 2703 E Phillips Ave, Sallisaw, OK 74955 2018-06-05
1972964666 Sallisaw Family Medicine, L.L.C. Family Medicine 104 South Oak St, Sallisaw, OK 74955 2016-03-09
1407258544 Mika Goff Counselor 301 So. Jt Stites, Sallisaw, OK 74955 2014-09-19
1013348200 Alton Matlock Counselor 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 2013-12-12
1881931509 Wildhorse Family Practice & Urgent Care Clinic/Center 1024 W Cherokee, Sallisaw, OK 74955 2013-01-15
1083966576 Kayla Plank Counselor 204 E Choctaw, Sallisaw, OK 74955 2012-10-08
1427307503 Brandi Jean Henry Counselor 205 S. J.t. Stites, Sallisaw, OK 74955 2012-09-05
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093230203 Taylor Howell Peer Specialist 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 2017-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972537 Tamra Lynn Cunningham Peer Specialist 764 Sherwin Ave, Ponca City, OK 74604-6112 2020-11-05
1699375691 Martha Isabel Zapata Peer Specialist 5740 E 72nd Ct, Tulsa, OK 74136-7202 2020-10-28
1376143883 Tina Marie Lopez Peer Specialist 933 N Oak St, Ponca City, OK 74601-3218 2020-10-26
1518566264 Vincent Oaks Cox Peer Specialist 3585 S 439, Pryor, OK 74361-9346 2020-10-23
1558960146 Sarah Elizabeth Walters Peer Specialist 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 2020-10-23
1861091548 Ryan Vanmeter Peer Specialist 1965 Ladera Ln, Edmond, OK 73034-9787 2020-10-22
1255930038 Brandon Loyd Hopkins Peer Specialist 446 S Scraper St, Vinita, OK 74301-4250 2020-10-22
1225637366 Crystal Dawn Adams Peer Specialist 200 N Sante Fe Ave, Bartlesville, OK 74003 2020-10-20
1194324491 Judith Anne Young Peer Specialist 3934 Se 27th St, Del City, OK 73115-2620 2020-10-19
1407455892 Kristen Michelle Stock Peer Specialist 804 N Dryden Cir, Stillwater, OK 74075-7108 2020-10-18
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Competitor

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City SALLISAW
Zip Code 74955

Improve Information

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Dataset Information

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.

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