MS. KRISTINE M JACKSON (NPI# 1598855520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598855520 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE M JACKSON |
| Credential | ARNP |
| Practice Address |
220 W 7th St Dubuque IA 52001-2375 |
| Mailing Address |
Po Box 162 East Dubuque IL 61025-0162 |
| Practice Telephone | 5635836431 |
| Practice Fax Number | 5635574447 |
| Mailing Telephone | 8157473932 |
| Mailing Fax Number | 5635574447 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
IA F 066142 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0140087 | 05 | |
| IA | WELLMARK | 18814 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690487 | Kristine Jackson | Nurse Practitioner | 114 Sandhill Dr, Suite 101, Middletown, DE 19709-5805 | 2009-01-29 |
| Street Address |
220 W 7TH ST |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-2375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523123 | Ashley Anne Wilson | General Practice | 220 W 7th St, Dubuque, IA 52001-2375 | 2019-08-12 |
| 1902468887 | Laura Ann Francis | Registered Nurse | 220 W 7th St, Dubuque, IA 52001-2375 | 2019-07-01 |
| 1316441157 | Christine Simms | Registered Nurse | 220 W 7th St, Dubuque, IA 52001-2375 | 2018-03-19 |
| 1366951279 | Angela Mcguire | Registered Nurse | 220 W 7th St, Dubuque, IA 52001-2375 | 2017-09-22 |
| 1366951352 | Angelica Rose Walsh | Registered Nurse | 220 W 7th St, Dubuque, IA 52001-2375 | 2017-09-22 |
| 1437668472 | Linda O'malley | Registered Nurse | 220 W 7th St, Dubuque, IA 52001-2375 | 2017-09-21 |
| 1356886857 | Kelley Rath | Dietitian, Registered | 220 W 7th St, Dubuque, IA 52001-2375 | 2016-12-20 |
| 1366987851 | Gina Dowling | Dietitian, Registered | 220 W 7th St, Dubuque, IA 52001-2375 | 2016-12-20 |
| 1003073867 | Laura Nameth | Registered Nurse | 220 W 7th St, Dubuque, IA 52001-2375 | 2008-05-20 |
| 1245407329 | Hillcrest Family Services | Clinic/Center | 220 W 7th St, Dubuque, IA 52001-2375 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399011 | Tassie Ann Carter | Nurse Practitioner | 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 | 2011-09-02 |
| 1033301098 | Anne M Glaser | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317183 | Planned Parenthood of The Heartland | Nurse Practitioner | 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 | 2011-08-10 |
| 1336428291 | Planned Parenthood of The Heartland | Nurse Practitioner | 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 | 2011-08-10 |
| 1992083190 | Planned Parenthood of The Heartland | Nurse Practitioner | 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 | 2011-07-22 |
| 1700020203 | Lindsey J Keonin | Nurse Practitioner | 2304 University Avenue, Des Moines, IA 50311-4316 | 2009-04-28 |
| 1497914758 | Jacqueline Kay Greenfield | Nurse Practitioner | 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 | 2008-06-03 |
| 1710003454 | Julie A Thompson | Nurse Practitioner | 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 | 2007-03-22 |
| 1730219742 | Planned Parenthood of The Heartlan | Nurse Practitioner | 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 | 2007-03-07 |
| 1790841161 | Nina Rae Cullinan | Nurse Practitioner | 727 N West St, Carroll, IA 51401-2348 | 2006-12-29 |
| 1902974538 | Lylia Jean Poland | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2006-12-01 |
| 1861560708 | Margaret Ann Beatty | Nurse Practitioner | 918 E 9th St, Spencer, IA 51301-4746 | 2006-11-30 |
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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.