MS. DIANE REGINA JACKSON (NPI# 1467796128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467796128 |
| Entity Type | Individual |
| Full Name | MS. DIANE REGINA JACKSON |
| Credential | ARNP |
| Practice Address |
1248 E Hillsborough Ave 221 Tampa FL 33604-7201 |
| Mailing Address |
27038 Sea Breeze Way Zephyrhills FL 33544-6617 |
| Practice Telephone | 8135160679 |
| Mailing Telephone | 8135160679 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP2121402 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
ARNP2121402 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588212872 | Diane Marie Jackson | Occupational Therapist | 1279 Elmhurst Dr Ne, Cedar Rapids, IA 52402-4760 | 2019-08-29 |
| 1720408966 | Diane Jackson | Behavioral Analyst | 981 W Simkins Rd, Pahrump, NV 89060-2688 | 2014-04-25 |
| 1063768521 | Diane Marie Jackson | Registered Nurse | 12517 Erwin Ave, Cleveland, OH 44135-3554 | 2012-08-01 |
| 1366729493 | Diane Jackson | Social Worker | 9416 Creek Summit Cir, Richmond, VA 23235-4277 | 2011-11-03 |
| 1073817318 | Diane Jackson | Nurse Practitioner | 25329 I-45, Suite B, The Woodlands, TX 77380 | 2010-12-30 |
| 1770777229 | Diane Lynn Jackson | Home Health | 901 Frost Hollow Dr, Desoto, TX 75115-7412 | 2007-08-28 |
| 1922160720 | Diane Rene Jackson | Social Worker | 1129 Hightower Place Dr, O Fallon, IL 62269-7069 | 2006-12-15 |
| 1710096409 | Diane Jackson | Marriage & Family Therapist | 300 Harding Blvd, Suite 109, Roseville, CA 95678-2470 | 2006-08-29 |
| 1447723994 | Diane M Jackson | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2019-01-08 |
| 1992162259 | Diane Jackson | Physical Therapist | 1676 Sunset Ave, Physical & Occupational Therapy Unit, Utica, NY 13502-5416 | 2016-01-18 |
| Street Address |
1248 E HILLSBOROUGH AVE 221 |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295260115 | Orellana Medical Services Corp | Family Medicine | 1248 E Hillsborough Ave, Suite 233b, Tampa, FL 33604-7201 | 2017-04-28 |
| 1457796575 | Abuelo's Home Health Care LLC | Home Health | 1248 E Hillsborough Ave, 226, Tampa, FL 33604-7201 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932717998 | Anabel Jimenez | Nurse Practitioner | 4221 W Spruce St Apt 2320, Tampa, FL 33607-7253 | 2020-07-16 |
| 1972150050 | Rebecca Rose Amos | Nurse Practitioner | 10631 Parkers Landing Dr Apt 331, Tampa, FL 33615-5838 | 2019-08-22 |
| 1528615184 | Kathleen Smith | Nurse Practitioner | 601 Channelside Walk Way Apt 1438, Tampa, FL 33602-6741 | 2019-08-19 |
| 1962927723 | Mobile Medical Care | Nurse Practitioner | 11671 Declaration Drive, Tampa, FL 33635 | 2017-08-13 |
| 1972986941 | Eland Health Careers Training & Exam Prep LLC | Nurse Practitioner | 1441 E Fletcher Ave Ste 221b, Tampa, FL 33612-8808 | 2015-07-08 |
| 1043474869 | Malini P Mcdonald | Nurse Practitioner | 2901 W Hillsborough Ave, Suite # C, Tampa, FL 33614-6054 | 2008-07-10 |
| 1053424945 | Susan S Bingham | Nurse Practitioner | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2006-08-16 |
| 1003425232 | Sara Elizabeth Graves | Nurse Practitioner | 5106 N Armenia Ave Ste 1, Tampa, FL 33603-1433 | 2020-07-23 |
| 1912523481 | Timothy Bondell | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2020-06-22 |
| 1093206492 | Brettashley Montero | Nurse Practitioner | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618 | 2018-05-22 |
| Find all providers in TAMPA | ||||
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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.