MRS. ROBIN JACKSON (NPI# 1720647670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720647670 |
| Entity Type | Individual |
| Full Name | MRS. ROBIN JACKSON |
| Practice Address |
21121 Christina Dr Matteson IL 60443-3003 |
| Practice Telephone | 3122187409 |
| Mailing Telephone | 3122187409 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
28208253A | IN | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041413313 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568909893 | Robin Jackson | Pharmacist | 5060 Raymond Avenue, Tupelo, MS 38801-3880 | 2017-01-25 |
| 1508134982 | Robin M Jackson | Nurse Practitioner | 1782 W Hammer Ln # 3, Stockton, CA 95209-2922 | 2011-12-13 |
| 1831210400 | Robin Dorothy Jackson | Specialist | 8601 N Division St Ste I, Spokane, WA 99208-5915 | 2007-04-02 |
| 1821582776 | Robin Elaine Jackson | Counselor | 25 Whitney Dr Ste 122, Milford, OH 45150-8400 | 2018-06-14 |
| 1942717632 | Robin Freeman Jackson | Registered Nurse | 115 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2018-01-04 |
| 1174036677 | Robin Suzette Jackson | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1669922670 | Robin Jackson | Nurse Practitioner | 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2016-10-13 |
| 1447607205 | Robin Jackson | Counselor | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2016-05-20 |
| 1912212705 | Robin Michelle Jackson | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2010-08-17 |
| 1245553635 | Robin Lashawn Jackson | Nurse Practitioner | 1500 Weiss St, Saginaw, MI 48602-5251 | 2010-03-12 |
| Street Address |
21121 CHRISTINA DR |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003208752 | Special Care Transportaion | Non-emergency Medical Transport (VAN) | 21121 Christina Dr, Matteson, IL 60443-3003 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
| 1548892565 | Sonja K Negrean | Registered Nurse | 280 Shuman Blvd, Naperville, IL 60563-8492 | 2020-02-07 |
| 1134772353 | Theresa Jane Debord | Registered Nurse | 5835 State Route 154 # Address2, Pinckneyville, IL 62274-3418 | 2019-07-17 |
| 1740740653 | Cherise C Rosen | Registered Nurse | 110 Frank Lloyd Wright Ln, Oak Park, IL 60302-2616 | 2019-03-25 |
| 1821589706 | Virginie Nyancho | Registered Nurse | 1336 Court Leona, Hanover Park, IL 60133-5419 | 2018-05-25 |
| 1861848681 | Merry Carlson | Registered Nurse | 1120 N Farnsworth Ave Apt 1d, Aurora, IL 60505-2049 | 2016-05-11 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1215360763 | Debra A Foppe | Registered Nurse | 19125 State Route 127, Carlyle, IL 62231-5303 | 2013-08-19 |
| 1871817742 | Bente Clausen | Registered Nurse | 715 Lake St Ste 720, Oak Park, IL 60301-1416 | 2010-03-22 |
| 1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
| 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.