OLIVIA JACKSON (NPI# 1689272759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689272759 |
| Entity Type | Individual |
| Full Name | OLIVIA JACKSON |
| Credential | RD |
| Practice Address |
4800 48th St Valley AL 36854-3666 |
| Practice Telephone | 3347100037 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers | ||
| N | 133VN1201X |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2422 Village Professional Dr, Opelika, AL 368012378 | 3345826800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700922176 | Olivia Jackson | Marriage & Family Therapist | 455 1st, Suite B2, Arcuta, CA 95521 | 2007-01-30 |
| 1154944791 | Olivia Jackson | Student in an Organized Health Care Education/Training Program | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-05-18 |
| 1811315542 | Olivia Jackson | Specialist/Technologist | 5001 Rockside Rd, Independence, OH 44131-2172 | 2014-03-31 |
| 1467723320 | Olivia Jackson | Registered Nurse | 590 Avenue of The Americas, New York, NY 10011-2019 | 2012-01-24 |
| 1699078014 | Olivia Jackson | Licensed Vocational Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2010-12-07 |
| Street Address |
4800 48TH ST |
| City | VALLEY |
| State | AL |
| Zip Code | 36854-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465110 | Chattahoochee Valley Hospital Society | Skilled Nursing Facility | 4800 48th St, Valley, AL 36854-3666 | 2005-05-27 |
| 1306476197 | Eamc-lanier Ambulatory Surgery Center, LLC | Clinic/Center | 4800 48th St, Valley, AL 36854-3666 | 2020-01-21 |
| 1780235002 | The East Alabama Health Care Authority | General Acute Care Hospital | 4800 48th St, Valley, AL 36854-3666 | 2019-09-27 |
| 1700375094 | Myra Beth Allen | Nurse Practitioner | 4800 48th St, Valley, AL 36854-3666 | 2018-05-02 |
| 1821448580 | The East Alabama Healthcare Authority | Rehabilitation Unit | 4800 48th St, 2nd Floor, Valley, AL 36854-3666 | 2016-06-14 |
| 1164847596 | The East Alabama Health Care Authority | Nursing Facility/Intermediate Care Facility | 4800 48th St, Valley, AL 36854-3666 | 2014-02-21 |
| 1154666378 | Emergency Staffing Solutions Inc | Emergency Medicine | 4800 48th St, Valley, AL 36854-3666 | 2012-11-28 |
| 1033427034 | Shawmut Emergency Physicians | Emergency Medicine | 4800 48th St, Valley, AL 36854-3666 | 2010-09-24 |
| 1962653428 | Jon Chervenak | Occupational Therapist | 4800 48th St, Valley, AL 36854-3666 | 2008-10-02 |
| 1730339680 | Joshua Smith | Physical Therapist | 4800 48th St, Valley, AL 36854-3666 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619455516 | East Alabama Water, Sewer, & Fire Protection District | Ambulance | 150 Fob James Drive, Valley, AL 36854 | 2018-08-02 |
| 1962706960 | Lanier Internal Medicine | Internal Medicine | #2 - 48th Street, Valley, AL 36854 | 2011-01-05 |
| 1265600977 | Swaroop N Nyshadham Md | Surgery | 4503 20th Ave, Valley, AL 36854 | 2008-02-15 |
| 1992854731 | Chambers County Health Dept-lafayette Mat | Public Health or Welfare | 5 North Medical Park Dr., Valley, AL 36854 | 2007-01-10 |
| 1013096858 | Fernando Sanchez | Surgery | 21 Medical Pk, Valley, AL 36854 | 2006-11-03 |
| 1467548719 | City of Valley Ems | Ambulance | 20 Fob James Dr., Valley, AL 36854 | 2006-10-05 |
| 1740371954 | V Gopikrishna Reddy | Internal Medicine | 1 48th Street, Valley, AL 36854 | 2006-09-27 |
| 1427153899 | Total Respiratory Medications, Inc. | Durable Medical Equipment & Medical Supplies | 4506 20th Ave., Valley, AL 36854 | 2006-09-13 |
| 1760454631 | Chattahoochee Hospice Inc | Hospice Care, Community Based | 6 Medical Park North, Valley, AL 36854 | 2006-02-06 |
| 1417947565 | Rebecca Kay Murphy | Speech-Language Pathologist | 40800 48th St, Valley, AL 36854 | 2005-10-28 |
| Find all providers in zip 36854 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134315864 | Jennifer Gilley Close | Dietitian, Registered | 8 Medical Park, Valley, AL 36854-3665 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669223 | Andrea Lindsey Tait | Dietitian, Registered | 1305 Hearthwood Cir Se, Huntsville, AL 35803-2447 | 2020-11-08 |
| 1003417841 | Jennifer Akiko Wanberg | Dietitian, Registered | 1122 Colonial Dr, Alabaster, AL 35007-8001 | 2020-11-06 |
| 1073113999 | Katherine Stumb | Dietitian, Registered | 213 Westmoreland Ave Se, Huntsville, AL 35801-2727 | 2020-10-29 |
| 1508466608 | Megan Miles | Dietitian, Registered | 229 Perthshire Way, Pelham, AL 35124-6267 | 2020-10-28 |
| 1073126355 | Steven Thrasher | Dietitian, Registered | 2003 Morningside Dr Nw, Hartselle, AL 35640-4301 | 2020-08-26 |
| 1972114031 | Amie Guice | Dietitian, Registered | 301 Lucerne Blvd, Homewood, AL 35209-6615 | 2020-08-12 |
| 1134739832 | Jessica Clare Broussard | Dietitian, Registered | 1297 Indiana Ave, Thorsby, AL 35171-8149 | 2020-08-06 |
| 1316555717 | Jacqueline Genito | Dietitian, Registered | 1445 Gardenia Ave, Tuscaloosa, AL 35404-3830 | 2020-07-21 |
| 1275151136 | Sunny Cashion | Dietitian, Registered | 1607 Bellingrath Dr, Tuscaloosa, AL 35406-2020 | 2020-07-08 |
| 1376168179 | Ashley Williams | Dietitian, Registered | 8101 Pine Run, Spanish Fort, AL 36527-8651 | 2020-06-08 |
| 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.