KIMBERLY JACKSON (NPI# 1710418355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710418355 |
| Entity Type | Individual |
| Full Name | KIMBERLY JACKSON |
| Credential | HAIR LOSS SPECIALIST |
| Practice Address |
2402 High Star Dr Garland TX 75041-3236 |
| Practice Telephone | 2147275725 |
| Mailing Telephone | 2147275725 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951394 | Kimberly Sue Jackson | Home Health Aide | 26 W Warner Rd, Coventry Township, OH 44319-1732 | 2020-10-29 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1184244063 | Kimberly Jackson | Music Therapist | 121 Koeppe Dr, Sequim, WA 98382-9489 | 2020-04-21 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1386188332 | Kimberly Jackson | Dietitian, Registered | 2318 Longcourt Way Se, Atlanta, GA 30339-0902 | 2016-12-10 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1639535719 | Kimberly Renee Jackson | Massage Therapist | 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 | 2016-01-05 |
| 1275934887 | Kimberly Jackson | Counselor | 213 Barrett St, Wilmington, DE 19802-2004 | 2014-09-15 |
| 1972930279 | Kimberly Jackson | Nurse's Aide | 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 | 2013-10-01 |
| 1871836395 | Kimberly D. Jackson | Speech-Language Pathologist | 270 Creekview Blvd, Covington, GA 30016-7693 | 2013-04-03 |
| Street Address |
2402 HIGH STAR DR |
| City | GARLAND |
| State | TX |
| Zip Code | 75041-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1699095620 | Bevan Wayne Heaton | Dentist | 1501 W. Miller Road, Suite 180, Garland, TX 75041 | 2010-06-01 |
| 1649592064 | Yuenan Shen | Pathology | 1918 E Miller Rd, Suite 101, Garland, TX 75041 | 2010-02-26 |
| 1417105271 | Laura Beth Ackerman | Speech-Language Pathologist | 2625 Anita Dr., Garland, TX 75041 | 2008-09-05 |
| 1760522031 | South First Dental,pc | Dentist | 3109 South First Street, Garland, TX 75041 | 2007-02-07 |
| 1396840328 | Jane Elizabeth Williamson | Counselor | 629 W Centerville, Suite 205, Garland, TX 75041 | 2006-09-14 |
| 1902900038 | Michael Allen Musso | Dentist | 513 W Centerville Road, Garland, TX 75041 | 2006-09-11 |
| 1538263652 | Musso Family Dentistry | Dentist | 513 West Centerville Rd, Garland, TX 75041 | 2006-09-11 |
| 1285738534 | Robert Rushing Jr. | Audiologist | 2625 Anita, Garland, TX 75041 | 2006-09-08 |
| 1932203288 | Kristi Amyx | Occupational Therapist | 2625 Anita Dr, Garland, TX 75041 | 2006-09-08 |
| Find all providers in zip 75041 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626833 | Physical Therapy Today of Lubbock Lp | Specialist/Technologist | 12115 Indiana Ave Ste 2, Lubbock, TX 79423-5501 | 2020-10-14 |
| 1760099824 | Jerome Allen Jr. | Specialist/Technologist | 7324 Southwest Fwy Ste 325, Houston, TX 77074-2058 | 2020-09-23 |
| 1861007445 | Svitlana Kravchenko | Specialist/Technologist | 8518 Heraldry St, San Antonio, TX 78254-2425 | 2020-09-10 |
| 1255862215 | Kelsey Nancarrow | Specialist/Technologist | 611 Chevy Chase Cir, Sugar Land, TX 77478-3601 | 2017-03-22 |
| 1891246856 | Melissa Reinert | Specialist/Technologist | 1300 Conner Ave, Fort Worth, TX 76105-1423 | 2016-10-14 |
| 1962874693 | Ashley Anne Smith | Specialist/Technologist | 2110 Long Forest Road, Heartland, TX 75126 | 2015-10-21 |
| 1073753067 | Open Arms Therapeutic Riding Center | Specialist/Technologist | 1404 Channing St, Dalhart, TX 79022-2217 | 2009-03-03 |
| 1568609311 | Matthew J Fiala | Specialist/Technologist | 522 Atlantic St, Corpus Christi, TX 78404-2921 | 2009-01-15 |
| 1255527487 | Jawanda J. Corbin-newsome | Specialist/Technologist | 1027 Windy Pond, San Antonio, TX 78260-2596 | 2007-09-20 |
| 1629111034 | Sleep Center of The Museum District Lp | Specialist/Technologist | 9329 Kirby Dr, Houston, TX 77054-2516 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY 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.