MRS. KATHERINE ANNE JACKSON (NPI# 1386078863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386078863 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE ANNE JACKSON |
| Credential | CFNP |
| Practice Address |
1217 First Street Nw Albuquerque Healthcare for The Homeless Albuquerque NM 87102 |
| Mailing Address |
Po Box 25445 Albuquerque Healthcare for The Homeless Albuquerque NM 87125-0445 |
| Practice Telephone | 5057665197 |
| Mailing Telephone | 5057665197 |
| Mailing Fax Number | 5057666945 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-02233 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410523 | Katherine R. Jackson | Physical Therapist | 200 Franciscan Sq, Steubenville, OH 43952-1795 | 2019-07-29 |
| 1619412228 | Katherine Thompson Jackson | Counselor | 1221 Jefferson Park Ave, Charlottesville, VA 22908-0001 | 2017-01-05 |
| 1881885028 | Katherine Jean Jackson | Nursing Care | 17 Addison St, Essex, MA 01929-1409 | 2007-08-05 |
| 1962850172 | Katherine Claire Jackson | Behavioral Analyst | 2700 E Sunset Rd Ste 24, Las Vegas, NV 89120-3519 | 2016-05-27 |
| 1679952436 | Katherine Jackson | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-0001 | 2015-05-27 |
| 1003295809 | Katherine Jackson | Counselor | 1001 N J St, Tacoma, WA 98403-2125 | 2015-05-26 |
| 1225437270 | Katherine Jackson | Counselor | 525 Nw Lake Whitney Pl, Port St Lucie, FL 34986-1605 | 2014-08-15 |
| 1831510502 | Katherine S.t. Jackson | Counselor | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2013-12-26 |
| 1912328592 | Katherine Danielle Jackson | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2013-12-26 |
| 1760813224 | Katherine Zmolek Jackson | Physician Assistant | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2013-12-10 |
| Street Address |
1217 FIRST STREET NW ALBUQUERQUE HEALTHCARE FOR THE HOMELESS |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| 1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
| 1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
| 1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
| 1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on MRS. KATHERINE ANNE JACKSON.
| 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.