ALICIA JACKSON (NPI# 1609431667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609431667 |
| Entity Type | Individual |
| Full Name | ALICIA JACKSON |
| Practice Address |
26901 Beaumont Blvd Southfield MI 48033-3849 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 9475221313 |
| Mailing Telephone | 9475221859 |
| Mailing Fax Number | 9475220307 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235786377 | Alicia Nykia Jackson | Nurse Practitioner | 3060 Windward Way, Miramar, FL 33025-4293 | 2019-08-22 |
| 1689913147 | Alicia Jackson | Counselor | 79 W Alexandrine, Detroit, MI 48201-2015 | 2013-02-04 |
| 1972876555 | Alicia Jackson | Registered Nurse | 10731 130th St, South Richmond Hill, NY 11419-3131 | 2012-02-13 |
| 1992964373 | Alicia Jackson | Case Manager/Care Coordinator | 1027 Audubon Pkwy, Louisville, KY 40213-1303 | 2008-06-02 |
| 1346856408 | Alicia Michelle Jackson | Nurse Practitioner | 605 W Campbell Rd, Richardson, TX 75080-3302 | 2020-09-23 |
| 1780237099 | Alicia Jeree Jackson | Counselor | 901 Us Highway 68 Ste 900, Maysville, KY 41056-9190 | 2019-07-17 |
| 1912386525 | Alicia M. Jackson | Counselor | 6707 Embarcadero Dr, Stockton, CA 95219-3382 | 2015-05-28 |
| 1710381256 | Alicia Renee Jackson | Dentist | 65 Broadway Ste 901, New York, NY 10006-2535 | 2014-10-13 |
| 1902245988 | Alicia J Jackson | Massage Therapist | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2013-06-23 |
| 1659622975 | Alicia Jackson | Counselor | 720 14th Ave., Longview, WA 98632 | 2012-09-26 |
| Street Address |
26901 BEAUMONT BLVD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782621 | Ann Marie Bhat | Nurse Practitioner | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2005-07-07 |
| 1780294850 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2020-08-04 |
| 1952968190 | Nicole Frantz Ellis | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-23 |
| 1679138200 | Charlene Diehl | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-09 |
| 1831754464 | Lisa Modzel | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-09 |
| 1750946570 | Ebonite Guyton | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1205491156 | Lynell Edwards | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1306401252 | Karen Firosz | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1346805389 | Tori Sampson | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-06 |
| 1144885187 | Theresa Goodrich | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215592241 | Ashley Page | Health Educator | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 | 2019-05-06 |
| 1952968190 | Nicole Frantz Ellis | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-23 |
| 1679138200 | Charlene Diehl | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-09 |
| 1831754464 | Lisa Modzel | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-09 |
| 1750946570 | Ebonite Guyton | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1205491156 | Lynell Edwards | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1306401252 | Karen Firosz | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-07 |
| 1144885179 | Kathy English | Health Educator | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 | 2019-05-06 |
| 1336704352 | Kimberly Batko | Health Educator | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 | 2019-05-06 |
| 1346805389 | Tori Sampson | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-06 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.