JODI K JACKSON (NPI# 1700843588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700843588 |
| Entity Type | Individual |
| Full Name | JODI K JACKSON |
| Credential | MD |
| Practice Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Practice Telephone | 8162343593 |
| Mailing Telephone | 8162343593 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
04-29730 | KS | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
118214 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384616 | Jodi L Jackson | Pediatrics | 8791 Barnes Lake Rd, Ste 202, Irwin, PA 15642-3176 | 2005-05-24 |
| 1316302136 | Jodi Jackson | Massage Therapist | 205 Robin Rd, Paramus, NJ 07652-1449 | 2015-12-21 |
| Street Address |
2401 GILLHAM RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921533 | Brent Ellis Cully | Radiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2005-06-13 |
| 1649878265 | Noelle Elise St. Jacques | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-10-15 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982107421 | Margaret Bayley Halbert | Pediatrics | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2018-03-12 |
| 1043626013 | Fnu Karishma Rao | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-07-10 |
| 1942620356 | Dianne Lee | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-04-24 |
| 1083977946 | Nicholas Lee Townley | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-06-16 |
| 1295015410 | Ayan Rajgarhia | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-08-18 |
| 1295023745 | John Moncure Daniel Iv | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-07-19 |
| 1740506922 | Christopher Ryan Nitkin | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-04-13 |
| 1851549661 | Alain Chin Cuna | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-09-04 |
| 1558536656 | Julie Anne Weiner | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-04-29 |
| 1144402132 | Kristin C Voos | Pediatrics | 2401 Gillham Road, Children's Mercy Hospital Neonatology Department, Kansas City, MO 64108 | 2007-11-30 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.