ANDREA MICHELE JACKSON (NPI# 1568945947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568945947 |
| Entity Type | Individual |
| Full Name | ANDREA MICHELE JACKSON |
| Practice Address |
100 Wilburn Way Starkville MS 39759-3692 |
| Practice Telephone | 6623204008 |
| Mailing Telephone | 6623204008 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 902906 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| Street Address |
100 WILBURN WAY |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467476531 | William Todd Smith | Orthopaedic Surgery | 100 Wilburn Way, Starkville, MS 39759 | 2006-07-26 |
| 1124649678 | Clay County Medical Corporation | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2020-05-06 |
| 1376180992 | Catherine Eldridge | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2019-12-02 |
| 1639442726 | Golden Triangle Geriatric Collaborative, LLC | Clinical Nurse Specialist | 100 Wilburn Way, Starkville, MS 39759-3692 | 2012-02-20 |
| 1104107036 | Mamie M Kosko | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2011-09-06 |
| 1730328352 | Michael J. Cox, Md | Orthopaedic Surgery | 100 Wilburn Way, Starkville, MS 39759 | 2009-02-05 |
| 1649415431 | Mary K Atkinson-smith | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2008-12-08 |
| 1629269477 | W. Todd Smith, M.d., P.a. | Orthopaedic Surgery | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-08-07 |
| 1891900569 | Kenneth R Thomas | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-05-14 |
| 1730202078 | Starkville Orthopedic Clinic, LLC | Specialist | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1235600305 | Woodhill Wound Services, LLC | Nurse Practitioner | 834 Highway 12 W # 142, Starkville, MS 39759-3582 | 2018-12-16 |
| 1477086429 | Unity Wound Services | Nurse Practitioner | 834 Highway 12 W, # 142, Starkville, MS 39759-3582 | 2017-04-06 |
| 1023068004 | Maggie Martin Fair | Nurse Practitioner | 101 Wilburn Way, Starkville, MS 39759-3693 | 2006-05-11 |
| 1114576956 | Rosaland Ann Henderson | Nurse Practitioner | 107 Brandon Rd, Starkville, MS 39759-2521 | 2019-09-04 |
| 1487165387 | William Nicholas Pennington | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759 | 2017-10-18 |
| 1184074643 | Glenn Mason | Nurse Practitioner | 307 Hospital Rd, Starkville, MS 39759-2155 | 2016-06-15 |
| 1043664972 | Anna Cooper | Nurse Practitioner | 100 Medical Park Dr, Starkville, MS 39759-4477 | 2016-04-18 |
| 1225405590 | Audrey Corinne Schilling | Nurse Practitioner | 107 Brandon Rd, Starkville, MS 39759-2521 | 2015-08-21 |
| 1124144381 | Oktibbeha County Hospital | Nurse Practitioner | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-21 |
| Find all providers in STARKVILLE | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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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.