MIRIAM M JACKSON (NPI# 1588905541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588905541 |
| Entity Type | Individual |
| Full Name | MIRIAM M JACKSON |
| Other Name | MIRIAM E MURILLO |
| Credential | PNP |
| Practice Address |
5301 Davis Ln Ste 200a Austin TX 78749-4062 |
| Practice Telephone | 5124944000 |
| Practice Fax Number | 5124944090 |
| Mailing Telephone | 5124944000 |
| Mailing Fax Number | 5124944090 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP123315 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558765982 | Miriam Jackson | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2014-10-14 |
| 1376509265 | Miriam Jackson | Physical Therapist | 206 E 3rd St, Thibodaux, LA 70301-3312 | 2006-04-21 |
| Street Address |
5301 DAVIS LN STE 200A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78749-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063478154 | Ruy Carrasco | Pediatrics | 5301 Davis Ln Ste 200a, Austin, TX 78749-4062 | 2006-04-26 |
| 1114402005 | Central Texas Subspecialists for Children Pllc | Clinic/Center | 5301 Davis Ln Ste 200a, Austin, TX 78749-4062 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
| 1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
| 1346894045 | Brianna Gonzalez | Behavioral Analyst | 5700 S Mopac Expy C310, Austin, TX 78749 | 2019-07-31 |
| 1811549603 | Austin Michael Arzaga | Pharmacist | 6600 Mopac Expressway South, Austin, TX 78749 | 2019-07-11 |
| 1922565092 | Ashley Harmon | Social Worker | 5417 S Mopac Expy, 418, Austin, TX 78749 | 2019-02-26 |
| 1316391139 | National Vision, Inc. | Technician/Technologist | 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 | 2016-04-18 |
| 1972976322 | P&h Services, LLC | Durable Medical Equipment & Medical Supplies | 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 | 2015-11-06 |
| 1023495207 | Oncall Emergency Center Circle C LLC | Clinic/Center | 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 | 2015-04-27 |
| 1447685953 | Sally Vanessa Moser | Dentist | 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 | 2013-09-04 |
| 1386987576 | Qiwei Paulson | Internal Medicine | 7504 Orrick Dr, Austin, TX 78749 | 2013-04-05 |
| Find all providers in zip 78749 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342903 | Jillian Lounsberry | Nurse Practitioner | 3000 N Ih 35 Ste 770, Austin, TX 78705-1853 | 2019-08-22 |
| 1790227106 | Natalie Buchanan | Nurse Practitioner | 7004 Bee Cave Roa, Austin, TX 78746 | 2016-11-16 |
| 1639558299 | Kayleigh Todd | Nurse Practitioner | 2500 Burleson Rd, Apt 316, Austin, TX 78741-5609 | 2015-05-28 |
| 1528445103 | Sarah Berger | Nurse Practitioner | 13917 W Hwy 71 Ste A, Austin, TX 78738 | 2015-05-02 |
| 1982007639 | Erin Nelson | Nurse Practitioner | 6618 Sitio Del Rio Blvd Ste A101, Austin, TX 78730-1144 | 2014-10-08 |
| 1720422504 | Emily Claire Wolfe | Nurse Practitioner | 5301b Davis Ln, Austin, TX 78749-3961 | 2013-04-23 |
| 1073890976 | Linda Jeanne Kangos | Nurse Practitioner | 12411 Hymeadow Dr Ste 3f, Austin, TX 78750-1829 | 2011-11-07 |
| 1154651636 | Karen L Borich | Nurse Practitioner | 1807 West Slaughter Lane, Suite 490, Austin, TX 78748-3632 | 2010-01-06 |
| 1396073946 | Stephanie Grace Slater | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2009-11-19 |
| 1497991335 | Sara Napora | Nurse Practitioner | 3305 Clearview Dr, Austin, TX 78703-2747 | 2008-12-24 |
| Find all providers in AUSTIN | ||||
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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.