CHRISTOPHER BRYAN JACKSON (NPI# 1689179608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689179608 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER BRYAN JACKSON |
| Practice Address |
110 Inner Campus Dr College of Pharmacy Austin TX 78712 |
| Mailing Address |
4616 Triangle Ave Apt 4110 Austin TX 78751-3501 |
| Practice Telephone | 5124711737 |
| Mailing Telephone | 5123186471 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 35449 | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502998 | Christopher Robert Jackson | Residential Treatment Facility, Emotionally Disturbed Children | 1502 Liatris Ln, North Pole, AK 99705-5082 | 2019-08-01 |
| 1144880469 | Christopher Luke Jackson | Registered Nurse | 2177 N Brower St, Simi Valley, CA 93065-2447 | 2019-06-18 |
| 1427612480 | Christopher John Jackson | Registered Nurse | 8921 Harvey St, Livonia, MI 48150-3518 | 2019-04-25 |
| 1972009041 | Christopher Carl Jackson | Physical Therapist | 1230 Felice Cutoff Rd, Ragley, LA 70657-6645 | 2018-04-05 |
| 1538674312 | Christopher D. Jackson | Counselor | 165 Warner St, Rochester, NY 14606-1832 | 2017-12-03 |
| 1720513997 | Christopher Ainsley Nally Jackson | Massage Therapist | 124 Wren Way, Newark, DE 19711-8330 | 2017-04-25 |
| 1073980736 | Christopher G Jackson | Physical Therapist | 3143 Pelham Pkwy Ste 400, Pelham, AL 35124-6301 | 2015-08-28 |
| 1932442498 | Christopher Paul Jackson | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-03 |
| 1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
| 1417107947 | Christopher L Jackson | Acupuncturist | 7901 4th St N Ste 312, St Petersburg, FL 33702 | 2008-09-20 |
| Street Address |
110 INNER CAMPUS DR COLLEGE OF PHARMACY |
| City | AUSTIN |
| State | TX |
| Zip Code | 78712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110781 | Teodora Elaine Andreas | Specialist/Technologist | 110 Inner Campus Dr, Austin, TX 78712-1139 | 2017-08-22 |
| 1588277172 | Alexis Renee Young | Specialist/Technologist | 110 Inner Campus Dr, Austin, TX 78712-1139 | 2020-08-25 |
| 1972159317 | Hailey Northcutt | Specialist/Technologist | 110 Inner Campus Dr, Austin, TX 78712-1139 | 2019-08-12 |
| 1801313242 | Daisy Morena Villegas | Specialist/Technologist | 110 Inner Campus Dr, Austin, TX 78712-1139 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681887 | Sarah Mae Clifford | Specialist/Technologist | 405 E 23rd Street, Austin, TX 78712 | 2020-08-27 |
| 1013533603 | Caleb Montgomery Burleson | Specialist/Technologist | College of Education 1912 Speedway, Stop D5000, Austin, TX 78712 | 2020-06-19 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1396382552 | H-e-b, Lp | Clinical Medical Laboratory | 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 | 2019-12-06 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1013565803 | Chidinma Abengowe | Specialist/Technologist | 2015 San Jacinto Blvd, Austin, TX 78712 | 2019-08-27 |
| 1073010724 | Qaisar Alshebani | Internal Medicine | Ut Austin Dell Medical School, Dell Seton Medical Center 1500 Red River Rd, Austin, TX 78712 | 2018-04-10 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1184081176 | Nahar Albudoor | Speech-Language Pathologist | 2504 A Whitis, Cma 2.200, A1100, University of Texas At Austin Speech & Hearing Center, Austin, TX 78712 | 2016-01-21 |
| 1922415181 | Kelly Marie Barker | Nurse Practitioner | 1601 Trinity St Ste 704f, Austin, TX 78712 | 2014-07-18 |
| Find all providers in zip 78712 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1144847773 | Rachael Tillman | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd Fl 2, Austin, TX 78723-3079 | 2020-06-30 |
| 1497370639 | Patrick Dennis Scholl | Student in an Organized Health Care Education/Training Program | 5205 Backtrail Dr, Austin, TX 78731-2668 | 2020-06-13 |
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1952924276 | Parisa Khosravi | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 # Cec300, Austin, TX 78701-1926 | 2020-05-20 |
| 1659993657 | Ayan Monpara | Student in an Organized Health Care Education/Training Program | 6007 Duncanville Pass, Austin, TX 78745-3223 | 2020-05-12 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1215566856 | Vignesh Ramachandran | Student in an Organized Health Care Education/Training Program | 2110 Cliffs Edge Dr, Austin, TX 78733-6014 | 2020-04-06 |
| Find all providers in AUSTIN | ||||
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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.