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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11795 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410523 | Katherine R. Jackson | Physical Therapist | 200 Franciscan Sq, Steubenville, OH 43952-1795 | 2019-07-29 |
1619412228 | Katherine Thompson Jackson | Counselor | 1221 Jefferson Park Ave, Charlottesville, VA 22908-0001 | 2017-01-05 |
1386078863 | Katherine Anne Jackson | Nurse Practitioner | 1217 First Street Nw, Albuquerque Healthcare for The Homeless, Albuquerque, NM 87102 | 2013-09-03 |
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 |
Street Address |
5810 OBATA WAY SUITE #1 |
City | GILROY |
State | CA |
Zip Code | 95020-7039 |
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 |
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 |
Find all providers in zip 95020 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
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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.