LORI ELIZABETH JACKSON (NPI# 1538778386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538778386 |
| Entity Type | Individual |
| Full Name | LORI ELIZABETH JACKSON |
| Practice Address |
7950 W Jefferson Blvd Fort Wayne IN 46804-4160 |
| Mailing Address |
3728 E 755 N Huntington IN 46750-0034 |
| Practice Telephone | 2604357001 |
| Mailing Telephone | 2606159229 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
28169386A | IN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051845 | Lori Jackson | Home Health Aide | 2800 Tusky Valley Rd Ne, Mineral City, OH 44656-9691 | 2018-01-31 |
| 1659695070 | Lori Ellen Jackson | Case Manager/Care Coordinator | 6625 W 26th Ave, Wheat Ridge, CO 80214-8014 | 2010-03-15 |
| 1407088248 | Lori Jackson | Private Vehicle | 3103 S Dartmouth St, Detroit, MI 48217-1020 | 2009-08-12 |
| 1780822056 | Lori Ann Jackson | Psychiatry & Neurology | 22216 South Ave, Florala, AL 36442-3144 | 2009-01-26 |
| 1972526499 | Lori A Jackson | Nurse Practitioner | 2423 N National Rd, Columbus, IN 47201-3733 | 2006-07-25 |
| 1235695677 | Lori Ann Jackson | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2019-02-11 |
| 1528565710 | Lori Jackson | Nurse Practitioner | 934 Main St, Saint George Island, AK 99591 | 2018-04-12 |
| 1902205693 | Lori Jane Jackson | Speech-Language Pathologist | 9100 White Bluff Rd, Suite 202, Savannah, GA 31406-4668 | 2014-08-19 |
| 1821372855 | Lori Anne Jackson | Registered Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2011-10-10 |
| 1154533271 | Lori R Jackson | Family Medicine | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2007-05-03 |
| Street Address |
7950 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486187 | Heather J. Wolfe | Pediatrics | 7950 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4140 | 2005-06-13 |
| 1831798354 | Dorian Raymone Tate | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-26 |
| 1528665585 | Alexis Kate Felger | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-02 |
| 1114534054 | Mary Catherine Richter | Specialist/Technologist, Other | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-09-24 |
| 1831708965 | Anna N. Kemler | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-24 |
| 1699383307 | David James Mansfield | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-20 |
| 1932726452 | Joseph Egbert | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-06-30 |
| 1245851872 | Lauren Tirey | Occupational Therapist | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-05-05 |
| 1609415421 | Mikhaila Sailor | Dietitian, Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2019-12-26 |
| 1356988463 | Alissa Lynn Clawson | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609057850 | Glenda Carol Gullion | Registered Nurse | 4402 E State Blvd, Fort Wayne, IN 46815-6917 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786005 | Jennifer Goettemoeller | Registered Nurse | 748 Walkabout Cir N Apt 2c, Carmel, IN 46032-5696 | 2020-10-08 |
| 1649827809 | Lauren Marie Ema | Registered Nurse | 731 77th Ave, Dyer, IN 46311-2305 | 2019-08-22 |
| 1780243972 | Zachary Eppert | Registered Nurse | 1919 E 52nd St, Indianapolis, IN 46205-1377 | 2019-06-11 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1508394792 | Amanda Diane Anderson | Registered Nurse | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-06-01 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1881035632 | Michelle Funk | Registered Nurse | 913 S Westhill Ct, Bloomington, IN 47403-2119 | 2013-07-09 |
| 1457605511 | Cynthia Denise Nanavaty | Registered Nurse | 6525 E 82nd St Ste 210-j, Indianapolis, IN 46250-1545 | 2012-10-28 |
| 1770855835 | Jeanine Marie Kuna | Registered Nurse | 320 S Saint Joseph St, Suite 300, South Bend, IN 46601-2308 | 2012-02-06 |
| 1497994024 | Vicki Jo Hazlewood | Registered Nurse | 4315 S 950 E, Lafayette, IN 47905-9447 | 2009-02-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.