MRS. CHRISTY LYNN JACKSON (NPI# 1417361536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417361536 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTY LYNN JACKSON |
| Credential | LPC |
| Practice Address |
1100 N Kentucky Ave West Plains MO 65775-2029 |
| Mailing Address |
1211 Porter Wagoner Blvd # 23 Parkway West Plains MO 65775-1826 |
| Practice Telephone | 4172576762 |
| Mailing Telephone | 4172576762 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2013005504 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396009650 | Christy Wiest Jackson | Occupational Therapy Assistant | 113 Ulysses Ln, Oak Ridge, TN 37830-5238 | 2012-07-01 |
| 1295908051 | Christy Danielle Jackson | Licensed Psychiatric Technician | 409 Courtland St, Elyria, OH 44035-3167 | 2008-04-11 |
| 1245888213 | Christy Clyborne Jackson | Nurse Practitioner | 610 Ferncrest Dr Ste B, Sandersville, GA 31082-1863 | 2019-09-03 |
| 1174170591 | Christy Danielle Jackson | Speech-Language Pathologist | 6701 Pinemont Dr Ste 200, Houston, TX 77092-3131 | 2019-08-20 |
| 1518232107 | Christy Alexa Steimer Jackson | Psychologist | 153 Hazard Ave, Enfield, CT 06082-4592 | 2012-03-14 |
| 1780996850 | Christy Nichole Jackson | Advanced Practice Midwife | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-07-06 |
| 1295964419 | Christy Tunnell Jackson | Physical Therapist | 1700 Ne Indian River Dr, Jensen Beach, FL 34957-5853 | 2009-07-09 |
| 1619992286 | Christy M Jackson | Psychiatry & Neurology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-07-13 |
| Street Address |
1100 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881851 | Visionary Imaging LLC | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2005-06-16 |
| 1316559636 | Chandra Steed | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-08-18 |
| 1144849845 | Danielle M Gregory | Physical Therapy Assistant | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-04-13 |
| 1447887708 | Cassidy Jones | Occupational Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-03-26 |
| 1710517727 | Patrick Lynn Peck | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-01-17 |
| 1699334649 | John Robert Piatt | Physician Assistant | 1100 N Kentucky Ave, West Plains, MO 65775 | 2019-06-12 |
| 1346723210 | Sarah Barnhill | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-09-07 |
| 1306324322 | Bradyn Alexis Sharp | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-08-01 |
| 1386120558 | Brittany Walsh | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-11 |
| 1265928527 | Lindsey Nicole Butz | Physical Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1851570535 | Jean Ann Dickson | Counselor | 1480 Saint Louis St, West Plains, MO 65775-5409 | 2007-10-30 |
| 1679697957 | Matthew Green | Counselor | 1208 Porter Wagoner Blvd, Suite 4, West Plains, MO 65775-1854 | 2007-03-19 |
| 1467593368 | Rachel Cobb | Counselor | 10551 County Road 9030, West Plains, MO 65775-5253 | 2007-02-12 |
| 1811007933 | Heather L. Crank | Counselor | 909 Kentucky, Ozarks Medical Center- Behavioral Healthcare, West Plains, MO 65775 | 2006-08-30 |
| 1932718400 | Bailey Hutchinson | Counselor | 1211 Porter Wagoner Blvd, West Plains, MO 65775-1826 | 2020-07-30 |
| 1932638954 | Rochelle R Smith | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2017-06-05 |
| 1184005043 | Christine Dowell | Counselor | 504 W Main St, West Plains, MO 65775-2732 | 2015-06-16 |
| 1881098515 | Tess Margaret Miley | Counselor | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2014-10-09 |
| 1932511177 | Kenneth Scott Tombley | Counselor | 1211 Porter Wagoner Blvd, #23, West Plains, MO 65775-1826 | 2014-05-22 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on MRS. CHRISTY LYNN 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.