KATHLEEN JACKSON (NPI# 1508015421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508015421 |
| Entity Type | Individual |
| Full Name | KATHLEEN JACKSON |
| Practice Address |
188 Lovering Ave Buffalo NY 14216-1814 |
| Practice Telephone | 7165781826 |
| Mailing Telephone | 7165781826 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 211315-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699685 | Kathleen Jackson | Technician | 3788 Jackson Community Rd, Vernon, FL 32462-3440 | 2019-09-30 |
| 1629264759 | Kathleen Lux Jackson | Registered Nurse | 2894 Komaia Pl, Honolulu, HI 96822-1745 | 2007-09-21 |
| 1508964347 | Kathleen Jackson | Registered Nurse | 7702 W Thurston Ave, Milwaukee, WI 53218 | 2006-09-20 |
| 1073619037 | Kathleen J. Jackson | Nurse Practitioner | 1001 F Lincoln Drive, West, Cooper Familyl Medicine PC, Marlton, NJ 08053-1915 | 2006-09-16 |
| 1548236029 | Kathleen Anne Jackson | Internal Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-02-24 |
| 1538720305 | Kathleen Celeste Jackson | Pharmacist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2019-06-24 |
| 1801323993 | Kathleen Marie Jackson | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2017-05-19 |
| 1356893689 | Kathleen Anne Jackson | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2016-11-03 |
| 1720496326 | Kathleen Grace Jackson | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-07-27 |
| 1699108209 | Kathleen Adele Jackson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2013-08-19 |
| Street Address |
188 LOVERING AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546963 | Tawanda Johnson | Licensed Practical Nurse | 333 S Division St, Buffalo, NY 14204-1715 | 2020-10-23 |
| 1740889195 | Jailyn Dickson | Licensed Practical Nurse | 298 E Delavan Ave, Buffalo, NY 14208-1313 | 2020-10-17 |
| 1972100493 | Bernadette Harrison | Licensed Practical Nurse | 352 Glenwood Ave, Buffalo, NY 14208-1817 | 2020-10-07 |
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1417567959 | Leisha Lett | Licensed Practical Nurse | 12 Midland St, Buffalo, NY 14220-1020 | 2020-08-07 |
| 1073131934 | Jaimontae Jeannette Mcduffie | Licensed Practical Nurse | 370 Wyoming Ave, Buffalo, NY 14215-3120 | 2020-07-08 |
| 1710500129 | Altricia Glisson | Licensed Practical Nurse | 511 Winslow Ave Uppr, Buffalo, NY 14211-1361 | 2020-05-20 |
| 1073134714 | Sharina Janee Morris | Licensed Practical Nurse | 354 Katherine St, Buffalo, NY 14210-2019 | 2020-05-05 |
| 1154952307 | Natalie Marie Jones | Licensed Practical Nurse | 110 Wood Ave, Buffalo, NY 14211-2550 | 2020-01-27 |
| 1073153128 | Keisha Samuels | Licensed Practical Nurse | 2092 Bailey Ave, Buffalo, NY 14211-2057 | 2020-01-07 |
| Find all providers in BUFFALO | ||||
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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.