MS. JOHANNA B. JACKSON (NPI# 1386078509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386078509 |
| Entity Type | Individual |
| Full Name | MS. JOHANNA B. JACKSON |
| Credential | S.S.P. |
| Practice Address |
18 Spruce Street York SC 29745-0770 |
| Mailing Address |
Po Box 770 1475 East Liberty Street York SC 29745-0770 |
| Practice Telephone | 8036841905 |
| Practice Fax Number | 8036841907 |
| Mailing Telephone | 8036849916 |
| Mailing Fax Number | 8036841903 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
207262 | SC | Behavioral Health & Social Service Providers |
| Street Address |
18 SPRUCE STREET |
| City | YORK |
| State | SC |
| Zip Code | 29745-0770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770917148 | Dale Ferguson Smarr | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| 1568907079 | Callie Clark Billings | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2016-12-20 |
| 1467902049 | Mary Gill Kennington | Psychologist | 18 Spruce Street, York, SC 29745-0770 | 2016-10-07 |
| 1013341239 | Harriett Shuler Kinsey | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
| 1023442241 | Elizabeth Broadbent Matthews | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
| 1700210911 | Judith Elaine Mcnamara | Speech-Language Pathologist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
| 1760816987 | Nancy Garrett Mcfall | Speech-Language Pathologist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-23 |
| 1467886846 | Lori M Gray | Physical Therapist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| 1366876740 | Cheri S. Flanagan | Registered Nurse | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| 1215361696 | Mary Jane Blankenship | Physical Therapist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218244 | Amanda Sue Hardy | Massage Therapist | Amanda Hardy, 423 Kelly Rd, York, SC 29745 | 2020-09-03 |
| 1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
| 1316313810 | Fc Midlands York, LLC | Assisted Living Facility | 40 Ross Cannon Street, York, SC 29745 | 2015-08-19 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1649599747 | Sherita Featherstone Davis | Counselor | 234 Kings Mountain Road, York, SC 29745 | 2010-05-28 |
| 1306099312 | Pmc Physician Network, L.L.C. | Family Medicine | 1795 Devinney Rd, York, SC 29745 | 2008-11-04 |
| 1215077433 | Alfred Casburn Johnson Jr. | Dentist | 1306 Old Fairhope Ct, York, SC 29745 | 2007-02-07 |
| 1104994938 | Ph & F Inc | Pharmacy | 1007 Creekside Medical Drive, York, SC 29745 | 2006-12-01 |
| 1407935315 | Nora Sue Roy | Social Worker | 212 East Jefferson St, York, SC 29745 | 2006-11-02 |
| 1508963927 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1440 Alexander Love Highway, York, SC 29745 | 2006-09-20 |
| Find all providers in zip 29745 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407371834 | Julia Hollinger | Psychologist | 2500 Kingston Rd Ste 1, York, PA 17402-3731 | 2017-08-07 |
| 1205134913 | Alice Marie Gruba | Psychologist | 186 Southside Rd, York, ME 03909-5145 | 2011-03-03 |
| 1003461781 | Ruby Chandler Billings | Psychologist | 18 Spruce St, York, SC 29745-0770 | 2019-08-08 |
| 1295270718 | Jessica Merritt Daniel | Psychologist | 18 Spruce St, York, SC 29745-0770 | 2016-12-20 |
| 1467902049 | Mary Gill Kennington | Psychologist | 18 Spruce Street, York, SC 29745-0770 | 2016-10-07 |
| 1902230378 | Jennifer Elizebeth Ramsey | Psychologist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| 1578997946 | Tammy Lily White | Psychologist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| 1174957559 | Bryan David Greeson | Psychologist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| 1740614122 | Sarah Elizabeth Dean | Psychologist | 18 Spruce Street, York, SC 29745-0770 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842865 | Maria Fernanda Dasilva | Psychologist | 2032 Emerald Pines Dr, Tega Cay, SC 29708-8330 | 2020-05-15 |
| 1891338794 | Joe Babcock | Psychologist | 101 Sugarfield Ct, Greer, SC 29650-3353 | 2019-10-23 |
| 1851941314 | Seagrass Psychoeducational Solutions LLC | Psychologist | 10 Pinckney Colony Rd Ste 312, Bluffton, SC 29909-4148 | 2019-09-17 |
| 1699325225 | Catherine Anne Aurora Pinnola | Psychologist | 4012 Atalaya Pl, Myrtle Beach, SC 29579-5175 | 2019-09-16 |
| 1306400825 | Laurie Stroupe | Psychologist | 210 N Mcduffie St Ste 102, Anderson, SC 29621-5648 | 2019-04-30 |
| 1093270092 | Sarah Rasel | Psychologist | 262 Red Cedar St Ste 4, Bluffton, SC 29910-8968 | 2019-02-04 |
| 1649745845 | Brandi T Dennis | Psychologist | 2011 2nd Loop Rd Ste A, Florence, SC 29501-6187 | 2018-10-04 |
| 1285116152 | Joneen Mary Adams | Psychologist | 895 N Fraser St, Georgetown, SC 29440-3356 | 2018-09-06 |
| 1992284236 | Emma J Merry | Psychologist | 420 E Park Ave Ste 304, Greenville, SC 29601-2257 | 2018-08-08 |
| 1093208894 | Sophie Ellis | Psychologist | 9217 University Blvd Ste C1a, North Charleston, SC 29406-9147 | 2018-06-07 |
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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.