CASSANDRA A JACKSON (NPI# 1578067435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578067435 |
Entity Type | Individual |
Full Name | CASSANDRA A JACKSON |
Practice Address |
298 Sw Walking Path Stuart FL 34997-3038 |
Practice Telephone | 5613580896 |
Mailing Telephone | 5613580896 |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9296985 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780027045 | Cassandra Jackson | Licensed Practical Nurse | 702 Cypress Pointe St, Alpharetta, GA 30022-1692 | 2013-04-16 |
1063623999 | Cassandra Georgette Jackson | Social Worker | 805 S Wheatley St Ste 240, Ridgeland, MS 39157-5000 | 2007-05-24 |
1861044364 | Cassandra Dale Jackson | Nurse Practitioner | 177b Kirkham Cir, Kyle, TX 78640-8942 | 2019-07-15 |
1689149841 | Cassandra Leigh Jackson | Physical Therapist | 8306 Huebner Rd, San Antonio, TX 78240-1864 | 2018-10-03 |
1700398369 | Cassandra Jackson | Behavior Technician | 411 S Magnolia Ave, El Cajon, CA 92020-5212 | 2017-11-03 |
1174035364 | Cassandra Mary Jackson | Social Worker | 2845 Eastern Blvd, York, PA 17402-2909 | 2017-10-29 |
1588719272 | Cassandra E Jackson | Counselor | 1600 E Olive St, Seattle Mental Health, Seattle, WA 98122-2735 | 2007-01-24 |
Street Address |
298 SW WALKING PATH |
City | STUART |
State | FL |
Zip Code | 34997-3038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
Find all providers in zip 34997 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316563927 | Justin M Dowd | Nurse Practitioner | 5702 Se Hull St, Stuart, FL 34997-2407 | 2020-06-19 |
1689206856 | Janine Benedetto | Nurse Practitioner | 1600 Sw Belgrave Ter, Stuart, FL 34997-7069 | 2020-02-06 |
1417504564 | Heather Michelle Hershberger | Nurse Practitioner | 1800 Sw Hackman Ter, Stuart, FL 34997-7006 | 2019-08-23 |
1447810825 | Allison Nicole Rudd | Nurse Practitioner | 2220 Se Ocean Blvd Ste 301, Stuart, FL 34996-3301 | 2019-06-18 |
1306313523 | Leah Nicole Catullo | Nurse Practitioner | 260 Se Cardinal Trl, Stuart, FL 34997-7304 | 2018-10-25 |
1275018731 | Heather Marie Hilton | Nurse Practitioner | 501 Se Osceola St Ste 100, Stuart, FL 34994-2302 | 2018-10-01 |
1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
1538686977 | Deborah Suzanne Swain | Nurse Practitioner | 2675 Nw South Shore Rd, Stuart, FL 34994-9162 | 2017-08-25 |
1710401104 | Sandra Velasquez | Nurse Practitioner | 1050 Se Monterey Rd Ste 203, Stuart, FL 34994-4512 | 2017-07-27 |
1063953628 | Melissa Gaylene Tucker | Nurse Practitioner | 5494 Se Celestial Cir, Stuart, FL 34997-6651 | 2017-03-15 |
Find all providers in STUART |
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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.