CAROL DIANE JACKSON (NPI# 1467420083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467420083 |
| Entity Type | Individual |
| Full Name | CAROL DIANE JACKSON |
| Credential | ARNP |
| Practice Address |
712 First Terrace #200 Lansing KS 66043-1735 |
| Mailing Address |
8929 Parallel Parkway Pmg-physician Credentialing Attn Kathleen Kansas City KS 66112-1689 |
| Practice Telephone | 9137276000 |
| Practice Fax Number | 9133511346 |
| Mailing Telephone | 9135963893 |
| Mailing Fax Number | 7852707646 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-45399-121 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660741 | Carol Ann Jackson | Technician | 1310 Jackson Ave, Friona, TX 79035-1322 | 2018-02-22 |
| 1033533351 | Carol Wesslyn Jackson | Case Manager/Care Coordinator | 10150 Celia Berryhill Rd, Okmulgee, OK 74447-9013 | 2014-02-06 |
| 1376826693 | Carol A Jackson | Psychologist | 110 Paseo Del Canon W, Taos, NM 87571-6743 | 2011-09-22 |
| 1154601409 | Carol Frances Jackson | Case Manager/Care Coordinator | 3948 Mt. View Drive, Anchorage, AK 99508 | 2011-08-18 |
| 1457567265 | Carol Mackenzie Jackson | Physician Assistant | 1331 E. Wyoming Avenue, Cancer Treatment Centers of America/eastern Regional Me, Philadelphia, PA 19124 | 2007-05-16 |
| 1801002720 | Carol Dashiell Jackson | Acupuncturist | 4100 Avenue G, Austin, TX 78751-4710 | 2007-05-15 |
| 1538164827 | Carol Jean Jackson | Physical Therapist | 100 N 1st St Ste 103, Step Ahead Physical Therapy, Burbank, CA 91502-1845 | 2005-06-14 |
| 1639674070 | Carol Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-03-28 |
| 1306287966 | Carol Anne Jackson | Behavioral Analyst | 1410 14th St, Plano, TX 75074-6302 | 2013-07-11 |
| 1003259029 | Carol Ann Jackson | Licensed Vocational Nurse | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2013-04-09 |
| Street Address |
712 FIRST TERRACE #200 |
| City | LANSING |
| State | KS |
| Zip Code | 66043-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1205210580 | Julie Ascher | Specialist/Technologist | 1412 147th Street, Lansing, KS 66043 | 2015-07-16 |
| 1164804324 | Erin D. Grosshuesch | Occupational Therapist | 757 W. Eisenhower, Lansing, KS 66043 | 2015-06-24 |
| 1043601669 | Rhonda Vaughn | Physical Therapy Assistant | 757 Eisenhower Rd, Lansing, KS 66043 | 2015-02-18 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1972768786 | Shayla Leann Kramer | Physical Therapist | 757 W Eisenhower, Lansing, KS 66043 | 2008-07-21 |
| 1780626945 | Jack Craig Stewart | Dentist | 615 Holiday Plaza, Lansing, KS 66043 | 2006-06-12 |
| 1518018837 | Vivek Sahgal, Md, Pa | Internal Medicine | 1004 Progress Dr, Ste 130, Lansing, KS 66043 | 2007-01-15 |
| 1134472640 | Twin Oaks Health and Rehab Operations, LLC | Skilled Nursing Facility | 757 W Eisenhower, Lansing, KS 66043-1110 | 2012-10-22 |
| 1750531281 | Janice M Gunter | Registered Nurse | 608 Valley Dr, Lansing, KS 66043-1235 | 2008-09-20 |
| Find all providers in zip 66043 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597281 | Adepeju Ojomalade | Nurse Practitioner | 2327 184th Pl, Lansing, IL 60438-2614 | 2020-08-08 |
| 1932731890 | Jaymi D Nesbit | Nurse Practitioner | 3131 Boston Blvd, Lansing, MI 48910-6504 | 2020-02-10 |
| 1114560539 | Michele Junious Lyons | Nurse Practitioner | 1631 185th St, Lansing, IL 60438-6508 | 2019-10-18 |
| 1659931418 | Kayla Holcomb | Nurse Practitioner | 3701 173rd Ct Apt 3c, Lansing, IL 60438-1441 | 2019-06-14 |
| 1235605833 | Jamie L Gothberg | Nurse Practitioner | 1120 E Michigan Ave Ste A, Lansing, MI 48912-1810 | 2018-10-22 |
| 1033604954 | Kenisha Davis | Nurse Practitioner | 18232 Ridgewood Ave, Lansing, IL 60438-3024 | 2018-06-23 |
| 1538677026 | Harold F. Roth, D.o. | Nurse Practitioner | 1627 Lake Lansing Rd Ste 200, Lansing, MI 48912-3788 | 2018-01-18 |
| 1023491875 | Katelyn Donofrio | Nurse Practitioner | 107 N Washington Sq, Lansing, MI 48933-1777 | 2015-06-29 |
| 1578966594 | Michele Marie Toney | Nurse Practitioner | 3618 176th Pl, Lansing, IL 60438-2035 | 2014-10-04 |
| 1134544190 | Stephanie Michele Stanley | Nurse Practitioner | 232 Bittersweet Ln, Lansing, KS 66043-1403 | 2014-02-28 |
| Find all providers in LANSING | ||||
Please comment or provide details below to improve the information on CAROL DIANE 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.