BETH ANN JACKSON (NPI# 1740497437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740497437 |
| Entity Type | Individual |
| Full Name | BETH ANN JACKSON |
| Practice Address |
1005 E Main St Medford OR 97504-7448 |
| Mailing Address |
262 Grant St Ashland OR 97520-1500 |
| Practice Telephone | 5417748201 |
| Practice Fax Number | 5417747979 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003142332 | Beth Lynna Jackson | Doula | 3802 Kingman Blvd, Des Moines, IA 50311-3608 | 2009-10-21 |
| 1992724462 | Beth L. Jackson | Social Worker | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2006-07-18 |
| 1699103242 | Beth Z Jackson | Social Worker | 6740 Jamestown Dr, Alpharetta, GA 30005-3030 | 2013-10-17 |
| 1750378477 | Beth Jackson | Nurse Anesthetist, Certified Registered | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-09-29 |
| Street Address |
1005 E MAIN ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710067400 | Joanne Noone | Nurse Practitioner | 1005 E Main St, Building A, Medford, OR 97504-7448 | 2006-10-17 |
| 1144649997 | Torina Lee Mereida-ford | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2014-04-09 |
| 1962825653 | Scedena T Soliz | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2014-01-30 |
| 1518393123 | Taylor Jay Burke | Social Worker | 1005 E Main St, Medford, OR 97504-7448 | 2013-09-16 |
| 1346673498 | Tina Marie Luzzi | Counselor | 1005 E Main St, Medford, OR 97504-7448 | 2013-08-13 |
| 1215369442 | Diana Jean Tonnesen | Counselor | 1005 E Main St, Medford, OR 97504-7448 | 2013-07-30 |
| 1225478449 | Maythe Saturen | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2013-07-02 |
| 1639518889 | Doreen Sue Stone | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2013-06-20 |
| 1891139481 | Chad Evan Burke | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2013-04-25 |
| 1871862649 | Jackson County Hhs | Case Management | 1005 E Main St, Medford, OR 97504-7448 | 2011-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453121 | Tarah Wright | Registered Nurse | 239 Taunton Blvd Ste A2, Medford, NJ 08055-3471 | 2018-10-23 |
| 1285853341 | Kirk William Austbo | Registered Nurse | 1911 Hazel St., Medford, OR 97504 | 2007-04-25 |
| 1902424948 | Christopher Joseph D'amore | Registered Nurse | 3200 Juanipero Way, Medford, OR 97504-8580 | 2020-07-07 |
| 1174002091 | Tiffany A Weldon | Registered Nurse | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-08-10 |
| 1790235166 | Dieguita Ann Montgomery | Registered Nurse | 140 S Holly St, Medford, OR 97501-3113 | 2016-10-10 |
| 1770932097 | Hallie Iversen | Registered Nurse | 100 E Main St Ste C, Medford, OR 97501-6041 | 2016-06-07 |
| 1619393253 | Dianne Christine Helmer | Registered Nurse | 140 South Holly Street, Medford, OR 97501 | 2014-03-06 |
| 1891122099 | Michael W Downey | Registered Nurse | 31 Industrial Blvd, Medford, NY 11763-2220 | 2013-10-02 |
| 1518282573 | Deborah Sue Roenbeck | Registered Nurse | 31 Industrial Blvd, Medford, NY 11763-2220 | 2010-04-02 |
| 1962681460 | Lisa Mccordic | Registered Nurse | 151 Mystic Ave, Suite Six, Medford, MA 02155-4632 | 2007-10-31 |
| Find all providers in MEDFORD | ||||
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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.