AMBER HAUOLI JACKSON (NPI# 1558923052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558923052 |
Entity Type | Individual |
Full Name | AMBER HAUOLI JACKSON |
Credential | LMT |
Practice Address |
5820 W Locksley Loop Wasilla AK 99623-0874 |
Practice Telephone | 9076312846 |
Mailing Telephone | 9076312846 |
Enumeration Date | 2019-07-03 |
Last Update Date | 2019-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659918878 | Amber Dawn Jackson | Licensed Vocational Nurse | 117 Sw Taylor St, Burleson, TX 76028-3813 | 2019-12-06 |
1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
1790224863 | Amber Jackson | Specialist | 24 Ball Ave, Yonkers, NY 10701-5001 | 2017-02-22 |
1730429226 | Amber Nicole Jackson | Licensed Practical Nurse | 5963 Highland View Dr, Sylvania, OH 43560 | 2013-02-21 |
1295941219 | Amber Nicole Jackson | Licensed Practical Nurse | 1800 Claremore Ave, Pawhuska, OK 74056-1747 | 2007-05-15 |
1912944158 | Amber Adney Jackson | Social Worker | 221 N East Ave Ste 203, Fayetteville, AR 72701-5226 | 2006-05-31 |
1659970945 | Amber Rose Jackson | Specialist/Technologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-10-19 |
1346859378 | Amber Jackson | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2020-07-27 |
1770105967 | Amber Jackson | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-11 |
1255966073 | Amber Jackson | Counselor | 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 | 2020-03-12 |
Street Address |
5820 W LOCKSLEY LOOP |
City | WASILLA |
State | AK |
Zip Code | 99623-0874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
Find all providers in zip 99623 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104435650 | Maranatha Jubilee | Massage Therapist | 645 N Jessica Brooke Cir Ste D, Wasilla, AK 99654-7333 | 2020-07-29 |
1376189142 | Andree Jewell Akers | Massage Therapist | 1175 N Leatherleaf Loop, Wasilla, AK 99654-6527 | 2019-11-26 |
1407497209 | Rachel Summerlin | Massage Therapist | 501 N Knik St Ste B, Wasilla, AK 99654-7050 | 2019-10-02 |
1598316309 | Justice Kinne | Massage Therapist | 601 N Moriah Cir, Wasilla, AK 99623-0889 | 2019-09-23 |
1154974806 | Lonnie Urban | Massage Therapist | 4001 S Goose Bay Dr, Wasilla, AK 99623-9422 | 2019-07-22 |
1952963159 | Elisa King | Massage Therapist | 637 E Barra Loop, Wasilla, AK 99654-1607 | 2019-07-08 |
1417517566 | Talea Fiscus | Massage Therapist | 609 S Knik Goose Bay Rd Ste C, Wasilla, AK 99654-8079 | 2019-06-19 |
1922661537 | Ann Marie Diemer | Massage Therapist | 590 S Denali St, Wasilla, AK 99654-8117 | 2019-04-18 |
1649742586 | Garrett Wolf | Massage Therapist | 1624 E Scotwood Dr, Wasilla, AK 99654-1726 | 2018-12-17 |
1912478157 | Reanna Marie Stewart | Massage Therapist | 1700 E Bogard Rd Ste 203, Wasilla, AK 99654-6563 | 2018-12-16 |
Find all providers in WASILLA |
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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.