DANA NICOLE JACKSON (NPI# 1568708766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568708766 |
| Entity Type | Individual |
| Full Name | DANA NICOLE JACKSON |
| Other Name | DANA NICOLE HOLLEN |
| Practice Address |
304 Pearl St Oregon City OR 97045-2684 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5036579889 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1962701391 | Dana Lynn Jackson | Counselor | 2448 E. 81st Street, Suite 4824 / Citiplextowers, Tulsa, OK 74137-1814 | 2011-03-24 |
| 1043527310 | Dana Jackson | Speech-Language Pathologist | 219 Clarke Avenue, Staten Island, NY 10306-1115 | 2010-09-08 |
| 1922191915 | Dana C. Jackson | Dentist | 6710 Oxon Hill Rd, Suite #350, Oxon Hill, MD 20745-1121 | 2006-10-02 |
| 1174530638 | Dana Jackson | Physical Therapist | 2500 Cherry Ave Ste 203, Bremerton, WA 98310-4202 | 2006-08-01 |
| 1225053531 | Dana M Jackson | Dentist | 7101 Pines Rd, Shreveport, LA 71129-3403 | 2006-07-13 |
| 1033740188 | Dana Marie Jackson | Social Worker | 186 E 1800 N Ste 1, North Logan, UT 84341-2245 | 2020-01-28 |
| 1235692112 | Dana A Jackson | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-04-09 |
| 1194209809 | Dana Unique Jackson | Home Health Aide | 3896 Swenson St, Las Vegas, NV 89119-7408 | 2018-09-18 |
| Street Address |
304 PEARL ST |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610809 | Ashley N Bohr | Case Manager/Care Coordinator | 304 Pearl St, Oregon City, OR 97045-2684 | 2020-05-12 |
| 1619509114 | Laura Elizabeth Hodak | Counselor | 304 Pearl St, Oregon City, OR 97045-2684 | 2020-02-12 |
| 1477193811 | Christina M Jackson | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2020-01-14 |
| 1861880130 | Kendra Maculagh | Case Manager/Care Coordinator | 304 Pearl St, Oregon City, OR 97045-2684 | 2015-01-08 |
| 1639583891 | Lindsay Allyson Peters | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2014-06-16 |
| 1871922542 | Britney Hamlin | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-11-04 |
| 1790110856 | Joyce G Turrentine | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-09-09 |
| 1114365228 | Amanda M Fernie | Counselor | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-06-11 |
| 1801239025 | Lucas Conrad Anderson | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-04-08 |
| 1366784571 | Ricardo Sandoval | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225434046 | Ikran Hilowle | Adult Companion | 18980 Leland St, Oregon City, OR 97045 | 2014-11-05 |
| 1740568781 | Kent Martin Frigaard | Adult Companion | 144 Molalla Ave, Oregon City, OR 97045-2686 | 2011-07-25 |
| 1477193811 | Christina M Jackson | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2020-01-14 |
| 1336781954 | Celeste Miller | Adult Companion | 18980 Leland Rd, Oregon City, OR 97045-8511 | 2019-10-15 |
| 1083142970 | Lisa May Giese | Adult Companion | 998 Library Ct, Oregon City, OR 97045-4041 | 2017-05-23 |
| 1639583891 | Lindsay Allyson Peters | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2014-06-16 |
| 1871922542 | Britney Hamlin | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-11-04 |
| 1790110856 | Joyce G Turrentine | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-09-09 |
| 1801239025 | Lucas Conrad Anderson | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-04-08 |
| 1366784571 | Ricardo Sandoval | Adult Companion | 304 Pearl St, Oregon City, OR 97045-2684 | 2013-03-26 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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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.