DENISE L. JACKSON (NPI# 1568421311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568421311 |
Entity Type | Individual |
Full Name | DENISE L. JACKSON |
Credential | P.A. |
Practice Address |
415 Ray C. Hunt Drive Ste 2200 Charlottesville VA 22903-0001 |
Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
Practice Telephone | 4349245700 |
Practice Fax Number | 4349249616 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2014-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 0110003442 | VA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9101300 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134736275 | Denise Jackson | Massage Therapist | 102 Arborwood Dr, Anderson, SC 29621-5865 | 2020-09-23 |
1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
1720403256 | Denise Ann Jackson | Social Worker | 1003 N Griffin Ave, Okmulgee, OK 74447-2512 | 2014-02-20 |
1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
1871545772 | Denise L Jackson | Family Medicine | 10043 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2006-05-17 |
1295732071 | Denise Serotta Jackson | Physical Therapist | Stephen W. Bassin, P.t., P.C., 32 Sherman Ave, Glen Falls, NY 12801 | 2005-07-07 |
1669030649 | Denise Jackson | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2019-06-04 |
1669930616 | Denise Jackson | Technician | 3110 Esther Pl Se, Washington, DC 20032-1505 | 2019-03-08 |
1538675632 | Denise Diane Jackson | Counselor | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-12-27 |
1093089906 | Denise Jackson | Physical Therapy Assistant | 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 | 2012-02-24 |
Street Address |
415 RAY C. HUNT DRIVE STE 2200 |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22903-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679564777 | Spencer Cranston Payne | Otolaryngology | 415 Ray C. Hunt Drive, Suite 1200, Charlottesville, VA 22903-0001 | 2005-10-31 |
1760801278 | Cherie Chaney | Nurse Practitioner | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2014-04-11 |
1497011134 | Meaghan Mccarthy Stumpf | Internal Medicine | 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 38163-0001 | 2012-04-06 |
1053697680 | Anuj Singla | Orthopaedic Surgery | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2011-10-27 |
1730473331 | Melissa Anne Mcnichol | Audiologist | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2011-06-01 |
1316179856 | Veronica Hughes | Nurse Practitioner | 415 Ray C. Hunt Drive, 2nd Floor, Charlottesville, VA 22903-0001 | 2009-08-18 |
1386878940 | Adam Q. Carlson | Internal Medicine | 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 22903-0001 | 2009-05-12 |
1710140595 | Hamid Hassanzadeh | Orthopaedic Surgery | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2008-07-02 |
1386817484 | James J. Daniero | Otolaryngology | 415 Ray C. Hunt Drive, Ste 2200, Charlottesville, VA 22903-0001 | 2008-04-09 |
1295943645 | Ralf M. Nass | Internal Medicine | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2007-05-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
Find all providers in zip 22903 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
1912562406 | Danielle Shell | Physician Assistant | 1254 Clover Ridge Pl, Charlottesville, VA 22901-9213 | 2019-05-09 |
1265953699 | Gina J Carroll | Physician Assistant | 2625 Cedar Ridge Ln, Charlottesville, VA 22901-9414 | 2017-07-06 |
1134585961 | Natalie Smith | Physician Assistant | 183 Spotnap Rd Ste C, Charlottesville, VA 22911-8812 | 2016-01-08 |
1093185167 | Emily Harriet Gilbert | Physician Assistant | 100 1st St N Apt 202, Charlottesville, VA 22902-5251 | 2015-10-01 |
1679815930 | Lindsay R Caine-conley | Physician Assistant | 103 S Pantops Dr Ste 102, Charlottesville, VA 22911-8617 | 2013-03-25 |
1376829184 | Traci L. Mahoney | Physician Assistant | 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 | 2011-10-25 |
1699951152 | Michelle Louise Post | Physician Assistant | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-7851 | 2008-01-15 |
1932223674 | Alden R. Kent | Physician Assistant | 1st Lee St, Charlottesville, VA 22908-0001 | 2007-03-19 |
1124142229 | Jennifer A. Hart | Physician Assistant | 1000 Massie Rd, Charlottesville, VA 22903 | 2007-03-16 |
Find all providers in CHARLOTTESVILLE |
City | CHARLOTTESVILLE |
Zip Code | 22903 |
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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.