MS. KATHERINE JACKSON


Address: 5810 Obata Way, Suite #1, Gilroy, CA 95020-7039
Phone: 4085928371

MS. KATHERINE JACKSON (NPI# 1528249638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528249638
Entity Type Individual
Full Name MS. KATHERINE JACKSON
Credential FNP
Practice Address 5810 Obata Way
Suite #1
Gilroy
CA 95020-7039
Practice Telephone 4085928371
Mailing Telephone 4085928371
Enumeration Date 2007-11-16
Last Update Date 2007-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11795 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHERINE JACKSON

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1881885028 Katherine Jean Jackson Nursing Care 17 Addison St, Essex, MA 01929-1409 2007-08-05
1962850172 Katherine Claire Jackson Behavioral Analyst 2700 E Sunset Rd Ste 24, Las Vegas, NV 89120-3519 2016-05-27
1679952436 Katherine Jackson Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Box Surg, Rochester, NY 14642-0001 2015-05-27
1003295809 Katherine Jackson Counselor 1001 N J St, Tacoma, WA 98403-2125 2015-05-26
1225437270 Katherine Jackson Counselor 525 Nw Lake Whitney Pl, Port St Lucie, FL 34986-1605 2014-08-15
1831510502 Katherine S.t. Jackson Counselor 300 W 19th Ter, Kansas City, MO 64108-2026 2013-12-26
1912328592 Katherine Danielle Jackson Pediatrics 2200 Childrens Way, Nashville, TN 37232-0005 2013-12-26

Office Location

Street Address 5810 OBATA WAY
SUITE #1
City GILROY
State CA
Zip Code 95020-7039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568593531 South Valley Resources, Inc. Day Training, Developmentally Disabled Services 5810 Obata Way, Suite 1, Gilroy, CA 95020-7039 2007-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376158105 Benjamin Liupaogo Case Manager/Care Coordinator Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 2020-09-09
1205457330 Ethel Rostran Counselor 290 I00f Ave., Gilroy, CA 95020 2020-04-29
1407498868 Mehak Saini Behavior Technician 9360 Noname Uno, Gilroy, CA 95020 2019-10-16
1629622899 Bruce Daniel Pirl Counselor 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 2019-07-26
1932752490 Eamon F. Burke Counselor Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 2019-07-23
1578116232 Jose Enrique Cruz Behavior Technician 9360 Noname Uno #130, Gilroy, CA 95020 2019-07-22
1558925560 Mauricio Hazael Procopio Behavioral Analyst 9360 Noname Uno Suite 130, Gilroy, CA 95020 2019-04-24
1689138893 Gabriela Mendoza Behavioral Analyst 9395 Kern Ave, Gilroy, CA 95020 2019-01-22
1972082782 Andrea Gloria Blanton Social Worker Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 2018-08-13
1407334626 Katrina Davina Aguilera Case Manager/Care Coordinator 290 Loof Ave., Gilroy, CA 95020 2018-07-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093116329 Zulaikha Akbery Nurse Practitioner 760 Renz Ln, Gilroy, CA 95020-9584 2014-09-05
1396219051 Patricia Biddle Nurse Practitioner 9400 N Name Uno, Gilroy, CA 95020-3528 2019-01-16
1164916896 Yvonne Agupugo Nurse Practitioner 7861 Murray Ave, Gilroy, CA 95020-4604 2018-06-16
1326494469 Jennifer Esther Yuriar Nurse Practitioner 7475 Camino Arroyo, Gilroy, CA 95020-7348 2016-05-08
1689000184 Jeannine Sacco Nurse Practitioner 7880 Wren Ave, Suite E153, Gilroy, CA 95020-4943 2013-09-17
1720423767 Trinh Kien Nguyen Nurse Practitioner 7475 Camino Arroyo, Gilroy, CA 95020-7348 2013-05-03
1013101708 Mary Rabitz Nurse Practitioner 7861 Murray Ave, Gilroy, CA 95020-4604 2007-09-05
1770777476 Susan Turner Nurse Practitioner 7861 Murray Ave, Gilroy, CA 95020-4604 2007-09-05
1033303722 Mary Mccafferty Nurse Practitioner 7861 Murray Ave, Gilroy, CA 95020-4604 2007-09-05
1821151143 Dominique M. Ly Nurse Practitioner 7933 Wren Ave, Suite D, Gilroy, CA 95020-4996 2006-12-18
Find all providers in GILROY

Competitor

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City GILROY
Zip Code 95020

Improve Information

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Dataset Information

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.

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