VELVET JACKSON (NPI# 1619414422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619414422 |
| Entity Type | Individual |
| Full Name | VELVET JACKSON |
| Practice Address |
450 S Camino Del Rio Ste 102 Durango CO 81301-6856 |
| Practice Telephone | 9708283030 |
| Practice Fax Number | 9702470221 |
| Mailing Telephone | 9708283030 |
| Mailing Fax Number | 9702470221 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1623855 | CO | Nursing Service Providers |
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
1623855 | CO | Nursing Service Providers |
| Street Address |
450 S CAMINO DEL RIO STE 102 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-6856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343847 | Richard L Harland Jr. | Counselor | 450 S Camino Del Rio Ste 102, Durango, CO 81301-6856 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679971675 | Michael Ryan Murphy | Registered Nurse | 2904 Franklin St, Denver, CO 80205-4512 | 2014-12-08 |
| 1073867727 | Jean L Kortz | Registered Nurse | 8801 Lipan Street, Thornton, CO 80260 | 2012-11-02 |
| 1770881443 | Larisa Erkaev | Registered Nurse | 2217 Champa St, Denver, CO 80205-2531 | 2011-03-04 |
| 1518297795 | Donna Lindsey | Registered Nurse | 3707 Dexter Ct, Denver, CO 80207-1049 | 2010-01-11 |
| 1881708618 | Shannon Proctor | Registered Nurse | 115 Parkside Dr, Colorado Springs, CO 80910-3130 | 2006-08-18 |
| 1396359162 | Scott William Lister | Registered Nurse | 206 Uvalda St, Aurora, CO 80011-8602 | 2020-08-31 |
| 1770197535 | Gennady Shiling | Registered Nurse | 206 Uvalda St, Aurora, CO 80011-8602 | 2020-08-31 |
| 1770136053 | Tammy Stevenson | Registered Nurse | 1155 Cherokee St, Denver, CO 80204-3632 | 2019-07-16 |
| 1053889212 | Kylie Bivrell-walsh | Registered Nurse | 1155 Cherokee St, Denver, CO 80204-3632 | 2018-11-06 |
| 1861987984 | Alicia Portillo | Registered Nurse | 1155 Cherokee St, Denver, CO 80204-3632 | 2018-07-01 |
| Find all providers with the same taxonomy | ||||
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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.