IRIS JACKSON (NPI# 1518053313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518053313 |
| Entity Type | Individual |
| Full Name | IRIS JACKSON |
| Credential | ARNP |
| Practice Address |
8175 Nw 12th St Suite 306 Doral FL 33126-1828 |
| Mailing Address |
8175 Nw 12th St Ste 306 Doral FL 33126-1828 |
| Practice Telephone | 7868450173 |
| Practice Fax Number | 3054705846 |
| Mailing Telephone | 7868450164 |
| Mailing Fax Number | 3054705846 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 1563532 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001398500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225324189 | Iris Jackson | Counselor | 6610b Tributary St, Suite 310, Baltimore, MD 21224-6532 | 2011-06-20 |
| 1497225601 | Iris Jackson | Psychologist | 7790 Canyon Diablo Rd, Las Vegas, NV 89179-2068 | 2018-11-29 |
| 1588164958 | Iris Yvonne Jackson | Counselor | 332 S Michigan Ave Ste 1024, Chicago, IL 60604-4483 | 2018-02-12 |
| Street Address |
8175 NW 12TH ST SUITE 306 |
| City | DORAL |
| State | FL |
| Zip Code | 33126-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477517746 | Joseph Nirvel Nicaisse | Obstetrics & Gynecology | 8175 Nw 12th St, Suite 305, Doral, FL 33126-1828 | 2006-04-13 |
| 1841641982 | Dora Marilucy Betancourth | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2016-06-30 |
| 1578917779 | Maryline Balthazar-gordon | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2016-04-14 |
| 1275996647 | Jean Deschamps | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2016-04-01 |
| 1750743266 | Cindy Saintval | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2016-03-23 |
| 1407218118 | Carmen Santos | Registered Nurse | 8175 Nw 12th St, Doral, FL 33126-1828 | 2016-03-22 |
| 1649631243 | Terina Choate | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2016-03-10 |
| 1861869398 | Yaniret T. Carmenate | Nurse Practitioner | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2015-09-01 |
| 1467869073 | Elizabeth A. Stewart | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2014-07-15 |
| 1790119733 | Danielle Wood Sweeney | Nurse Practitioner | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149338 | Ingrid Heliana Cervera | Nurse Practitioner | 4894 Nw 110th Pl, Doral, FL 33178-4311 | 2020-09-23 |
| 1922610187 | Galia Galindo | Nurse Practitioner | 5561 Nw 112th Ave Apt 101, Doral, FL 33178-4130 | 2020-08-19 |
| 1891317640 | Adrianna Valiente | Nurse Practitioner | 9802 Nw 29th St, Doral, FL 33172-1074 | 2020-05-15 |
| 1578183265 | Frances Oquendo | Nurse Practitioner | 11244 Nw 43rd Ter, Doral, FL 33178-4382 | 2020-04-22 |
| 1518592708 | Maria Elsie Comas | Nurse Practitioner | 10833 Nw 83rd St Unit 4, Doral, FL 33178-1686 | 2020-03-08 |
| 1841821212 | Maria D Olivera | Nurse Practitioner | 8181 Nw 36th St Ste 23-24, Doral, FL 33166-6671 | 2020-02-03 |
| 1588211833 | Maria F Rodriguez-gallo | Nurse Practitioner | 8181 Nw 14th St Ste 300, Doral, FL 33126-1617 | 2019-08-21 |
| 1225681497 | Katherine Pulgarin | Nurse Practitioner | 7825 Nw 107th Ave Apt 513, Doral, FL 33178-4437 | 2019-07-17 |
| 1821557323 | Zoila E Anta Vergara | Nurse Practitioner | 4420 Nw 79th Ave Apt 1f, Doral, FL 33166-6323 | 2019-03-14 |
| 1063987980 | Ortelio Garcia Echavarria | Nurse Practitioner | 4005 Nw 114th Ave Unit 4-5, Doral, FL 33178-4374 | 2018-10-07 |
| Find all providers in DORAL | ||||
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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.