HEATHER M JACKSON (NPI# 1629220017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629220017 |
| Entity Type | Individual |
| Full Name | HEATHER M JACKSON |
| Credential | AA |
| Practice Address |
11705 Mercy Blvd Savannah GA 31419-1711 |
| Mailing Address |
6605 Abercorn St Suite 108 Savannah GA 31405-5815 |
| Practice Telephone | 9128196000 |
| Mailing Telephone | 9123545357 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2009-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 005442 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PA LICENSES | 005442 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260545 | Heather Jackson | Registered Nurse | 2503 Beneva Rd Unit 8, Sarasota, FL 34232-3602 | 2020-06-23 |
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1487194445 | Heather Jackson | Physical Therapist | 9263 Osborn Rd, Arlington, TN 38002-5922 | 2017-02-24 |
| 1255878203 | Heather Jackson | Nurse's Aide | 1103 Knoxville Hwy, Wartburg, TN 37887 | 2017-01-30 |
| 1053768176 | Heather Jackson | Counselor | 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459-7149 | 2016-05-18 |
| 1851775761 | Heather Jackson | Speech-Language Pathologist | 3780 N Garfield Ave Ste 102, Loveland, CO 80538-2237 | 2015-07-10 |
| 1255734828 | Heather Jackson | Licensed Practical Nurse | 23953 Prairie Rd, Sedro Woolley, WA 98284-8598 | 2014-09-26 |
| 1649602905 | Heather Elizabeth Jackson | Nurse Practitioner | 6286 Pepper Hill St, West Bloomfield, MI 48322-2301 | 2013-08-08 |
| 1710933981 | Heather C. Jackson | Occupational Therapist | 974 E Main St, Mayo, FL 32066-5631 | 2006-05-26 |
| 1669090049 | Heather Lee Jackson | Advanced Practice Midwife | 2022 Kelle Dr, Chesterton, IN 46304-8708 | 2020-07-11 |
| Street Address |
11705 MERCY BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001486 | Dennis A.k. Rice | Pharmacist | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-05-27 |
| 1942854625 | Mallory Duncan | Nurse Practitioner | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2019-07-30 |
| 1003380304 | Claudia Ellis | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419 | 2019-01-20 |
| 1144795543 | Angela Darlene Gerrald | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1791 | 2018-10-11 |
| 1720570211 | Jessica Hendley | Nurse Anesthetist, Certified Registered | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-05-31 |
| 1063912053 | Abigail White | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-02-15 |
| 1861907446 | Anna Dilworth Warren | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-12-05 |
| 1740791813 | Emma Helmken | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-10-17 |
| 1619363561 | Evan John Van Peursem | Anesthesiology | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2015-04-07 |
| 1578967535 | Amy Marie Scroggin | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2014-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759014 | Tatsiana Shakhmuts | Anesthesiologist Assistant | 435 Habersham St, Savannah, GA 31401-5632 | 2016-09-29 |
| 1669818258 | Christa Marie Baker | Anesthesiologist Assistant | 111 Radick Dr, Savannah, GA 31406-3230 | 2013-05-22 |
| 1386681492 | John W Sieber II | Anesthesiologist Assistant | 18 Half Penny Cir, Savannah, GA 31411-2706 | 2006-05-31 |
| 1255938288 | Mckenna Maria Valencia | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-10-02 |
| 1851998017 | Elyssa Whitley | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-10-01 |
| 1184239451 | Avery Thomas Helms | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-09-13 |
| 1619580800 | Matthew Shannon | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-26 |
| 1679184840 | Anna Tincher | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-12 |
| 1669083168 | Christie Vernon Klinginsmith | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-10 |
| 1396355004 | Noah Radjenovic | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-06 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on HEATHER M 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.