KATHERINE THOMPSON JACKSON (NPI# 1619412228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619412228 |
| Entity Type | Individual |
| Full Name | KATHERINE THOMPSON JACKSON |
| Credential | M.DIV. |
| Practice Address |
1221 Jefferson Park Ave Charlottesville VA 22908-0001 |
| Practice Telephone | 4349242642 |
| Practice Fax Number | 4349241139 |
| Mailing Telephone | 4349242642 |
| Mailing Fax Number | 4349241139 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
VA | Behavioral Health & Social Service Providers | |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410523 | Katherine R. Jackson | Physical Therapist | 200 Franciscan Sq, Steubenville, OH 43952-1795 | 2019-07-29 |
| 1386078863 | Katherine Anne Jackson | Nurse Practitioner | 1217 First Street Nw, Albuquerque Healthcare for The Homeless, Albuquerque, NM 87102 | 2013-09-03 |
| 1881885028 | Katherine Jean Jackson | Nursing Care | 17 Addison St, Essex, MA 01929-1409 | 2007-08-05 |
| 1962850172 | Katherine Claire Jackson | Behavioral Analyst | 2700 E Sunset Rd Ste 24, Las Vegas, NV 89120-3519 | 2016-05-27 |
| 1679952436 | Katherine Jackson | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-0001 | 2015-05-27 |
| 1003295809 | Katherine Jackson | Counselor | 1001 N J St, Tacoma, WA 98403-2125 | 2015-05-26 |
| 1225437270 | Katherine Jackson | Counselor | 525 Nw Lake Whitney Pl, Port St Lucie, FL 34986-1605 | 2014-08-15 |
| 1831510502 | Katherine S.t. Jackson | Counselor | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2013-12-26 |
| 1912328592 | Katherine Danielle Jackson | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2013-12-26 |
| 1760813224 | Katherine Zmolek Jackson | Physician Assistant | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2013-12-10 |
| Street Address |
1221 JEFFERSON PARK AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576188 | Xenia Scullark | Counselor | 327 Powder Horn Dr, Ruther Glen, VA 22546-5064 | 2020-10-25 |
| 1215534284 | Open Hearts Christian Counseling | Counselor | 2530 Carriage Ln Apt 1d, Fredericksburg, VA 22401-7925 | 2020-10-02 |
| 1134738131 | Console, Comfort & Care LLC | Counselor | 711 Comstock St, Norfolk, VA 23502-4241 | 2020-07-26 |
| 1215545843 | Arllen Ade | Counselor | 3558 Clinton Ross Ct, Triangle, VA 22172-2220 | 2020-07-20 |
| 1407319643 | Scot Mckenzie | Counselor | 725 Corner Rd, Java, VA 24565-4704 | 2019-04-12 |
| 1609334275 | Laura Beth Olliff | Counselor | 12000 Wyndham Lake Dr Ste B, Glen Allen, VA 23059-7072 | 2019-03-03 |
| 1184182719 | Antonio O'neil Clinkscales | Counselor | 103 Surrey Dr, Ruther Glen, VA 22546-1035 | 2019-03-02 |
| 1326510397 | Elizabeth Parham | Counselor | 1600 Forestdale Dr, North Chesterfield, VA 23235-5645 | 2018-12-31 |
| 1629563606 | Darren Crenshaw | Counselor | 101 E Franklin St Ste B, Richmond, VA 23219-2107 | 2018-06-22 |
| 1770090169 | Angela S Buckner | Counselor | 1818 Centre Ave Nw, Roanoke, VA 24017-5534 | 2018-01-07 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
Please comment or provide details below to improve the information on KATHERINE THOMPSON JACKSON.
| 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.