STEPHANIE JACKSON (NPI# 1508182429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508182429 |
| Entity Type | Individual |
| Full Name | STEPHANIE JACKSON |
| Practice Address |
75 New Scotland Ave Albany NY 12208-3409 |
| Mailing Address |
65 Clipp Rd Delmar NY 12054-5300 |
| Practice Telephone | 5184479611 |
| Practice Fax Number | 5184262902 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
243144-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
| 1427538016 | Stephanie Renee Jackson | Occupational Therapist | 626 Colosseo Way, San Antonio, TX 78253-5687 | 2018-08-14 |
| 1376955294 | Stephanie Jackson | Behavioral Analyst | 6131 Alpine Tree Ave, Las Vegas, NV 89139-6854 | 2014-05-27 |
| 1548601511 | Stephanie Jackson | Licensed Practical Nurse | 39 W. Yaphank Rd., Medford, NY 11763 | 2013-07-08 |
| 1134461361 | Stephanie K Jackson | Specialist | 1513 Sleepy Hollow Rd Unit A, Wenatchee, WA 98801-9132 | 2013-03-26 |
| 1073890828 | Stephanie Jackson | Massage Therapist | 3172 S Gilpin St, Englewood, CO 80113-3023 | 2011-11-08 |
| 1013177872 | Stephanie Colleen Jackson | Psychiatry & Neurology | 1950 Hope Valley Dr, Reno, NV 89521-3140 | 2008-06-13 |
| 1255512984 | Stephanie Brazeal Jackson | Nurse Practitioner | 711 Trestle Rd, Locust Grove, GA 30248-3465 | 2007-11-21 |
| 1992904155 | Stephanie Lynn Jackson | Dentist | 13521 Steelecroft Pkwy, Suite 100, Charlotte, NC 28278-7545 | 2007-07-17 |
| Street Address |
75 NEW SCOTLAND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
| 1225645922 | Joanna Walton | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-09-26 |
| 1033745351 | Pamela Marie Dolacky | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-03-18 |
| 1871129346 | Emilie Valcin Bien-aime | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-03-17 |
| 1184256547 | Jolene Bariteau | Recreational Therapist Assistant | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-04 |
| 1972134476 | Mary Pamberi | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-03 |
| 1164053112 | Jennifer Martin | Dietitian, Registered | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-01-29 |
| 1588200331 | Brianna Wright | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2019-11-26 |
| 1891347712 | Monique Stewart | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-11 |
| 1316599384 | Tella Stanfield | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| 1033745351 | Pamela Marie Dolacky | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-03-18 |
| 1972134476 | Mary Pamberi | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-03 |
| 1801437355 | Brian Paul Cahill | Registered Nurse | 175 Green St, Albany, NY 12202-2011 | 2019-10-07 |
| 1891347712 | Monique Stewart | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-11 |
| 1316599384 | Tella Stanfield | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| 1033761002 | Linda Wilcox | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| 1093367070 | Jainamma Luckose | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
| 1770145906 | Doreen Ann Andreini | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-09 |
| 1669033932 | Paula Beaudoin | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-06-26 |
| Find all providers in ALBANY | ||||
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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.