DR. REBECCA RAIN JACKSON (NPI# 1568621613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568621613 |
| Entity Type | Individual |
| Full Name | DR. REBECCA RAIN JACKSON |
| Credential | DO |
| Practice Address |
2121 E Harmony Rd Suite 370 Fort Collins CO 80528-3400 |
| Practice Telephone | 9702212290 |
| Practice Fax Number | 9702950036 |
| Mailing Telephone | 9702212290 |
| Mailing Fax Number | 9702950036 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
47225 | CO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 47225 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337959 | Rebecca Jackson | Speech-Language Pathologist | 401 Taswell Ave, Colonial Heights, VA 23834-1548 | 2018-08-23 |
| 1700202587 | Rebecca Jackson | Registered Nurse | 503 Candace Dr, Springfield, OH 45504-3752 | 2014-03-17 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1952571184 | Rebecca Lynne Jackson | Physician Assistant | 920 Ironwood Drive, Suite 101, Coeur D'alene, ID 83814-2464 | 2008-03-04 |
| 1013062488 | Rebecca R Jackson | Chiropractor | 12203 Aberdeen St Ne Ste 140, Blaine, MN 55449-4719 | 2007-01-24 |
| 1750316063 | Rebecca L Jackson | Plastic Surgery | 1175 Trancas St, Napa, CA 94558-2907 | 2006-07-12 |
| 1205819638 | Rebecca Katherine Pitt Jackson | Optometrist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2005-11-21 |
| 1437768256 | Rebecca Grace Jackson | Social Worker | 725 Wellington Ave, Wilmington, NC 28401-7652 | 2020-07-28 |
| 1053885285 | Rebecca Whitaker Jackson | Behavior Technician | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2019-01-22 |
| 1306329313 | Rebecca Lynn Jackson | Counselor | 1717 N High St, Lansing, MI 48906-4529 | 2018-09-14 |
| Street Address |
2121 E HARMONY RD SUITE 370 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737526 | Carrie Lynn Campbell Broughton | Internal Medicine | 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528-3400 | 2005-05-31 |
| 1851916407 | Jonathan Klassen | Genetic Counselor, MS | 2121 E Harmony Rd, Fort Collins, CO 80528-3400 | 2020-06-10 |
| 1508374364 | Jennifer Mommer | Nurse Practitioner | 2121 E Harmony Rd, Suite 100, Fort Collins, CO 80528-3401 | 2018-01-15 |
| 1043744543 | Seth Holland | Pharmacist | 2121 E Harmony Rd, Fort Collins, CO 80528-3400 | 2017-04-12 |
| 1396279832 | Carrie Allen | Pharmacist | 2121 E Harmony Rd, Suite 170, Fort Collins, CO 80528-3400 | 2017-04-11 |
| 1609317890 | Tomi Folkestad | Pharmacist | 2121 E Harmony Rd, Suite 170, Fort Collins, CO 80528-3400 | 2017-03-20 |
| 1295285377 | Lindsay Sinclair | Pharmacist | 2121 E Harmony Rd, Suite 170 (pharmacy), Fort Collins, CO 80528-3400 | 2016-10-12 |
| 1851841753 | Associates In Family Medicine, P.C. | Family Medicine | 2121 E Harmony Rd, Suite 370, Fort Collins, CO 80528-3400 | 2016-10-04 |
| 1639541550 | Jaime Cazer | Registered Nurse | 2121 E Harmony Rd, Suite 100, Fort Collins, CO 80528-3400 | 2015-10-30 |
| 1699146183 | Lindsay Bennett | Nurse Practitioner | 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528-3400 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194261362 | Front Range Geriatric Medicine LLC | Family Medicine | 802 W Drake Rd, Suite 101, Fort Collins, CO 80526-5558 | 2017-01-12 |
| 1194703926 | Julie Ann Devita-bailey | Family Medicine | 1212 E Elizabeth St, Fort Collins, CO 80524-4007 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100685 | Sun Tree Palliative Care and Physician Services LLC | Family Medicine | 3090 S Jamaica Ct Ste 313, Aurora, CO 80014-2628 | 2018-10-23 |
| 1871906974 | Catherine Lee Cantway | Family Medicine | 1600 Mid Valley Dr, Steamboat Springs, CO 80487-9006 | 2014-06-05 |
| 1033354386 | Madison Jerome Lucas I | Family Medicine | 5991 Crestbrook Dr, Morrison, CO 80465-2219 | 2008-12-15 |
| 1245416742 | Benjamin N Pinto Md | Family Medicine | 5421 S Federal Cir, Suite J206, Littleton, CO 80123-7701 | 2008-01-14 |
| 1053442467 | House Call Docs Cs LLC | Family Medicine | 506 Orion Drive, Colorado Springs, CO 80906-1015 | 2007-03-08 |
| 1922015973 | Michele Yeeting Lee | Family Medicine | 350 Ponca Pl, Suite 250, Boulder, CO 80303-3828 | 2006-08-02 |
| 1881600112 | Doc Com LLC | Family Medicine | 2833 S Colorado Blvd, Denver, CO 80222-6609 | 2006-07-31 |
| 1528083466 | Donald G Spradlin | Family Medicine | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-07-13 |
| 1073508966 | Julie Lynn Halling | Family Medicine | 3076 Electra Dr S, Colorado Springs, CO 80906-1097 | 2005-09-16 |
| 1285089052 | Juliana Wilking-johnson | Family Medicine | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2016-04-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.