MS. DEBORAH ANN JACKSON (NPI# 1750560686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750560686 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH ANN JACKSON |
| Credential | RD, LD/N |
| Practice Address |
14114 Alabama St Jay FL 32565-1219 |
| Mailing Address |
2508 Eclipse Ln Pensacola FL 32514-7456 |
| Practice Telephone | 8506758045 |
| Mailing Telephone | 8504739218 |
| Mailing Fax Number | 8504712881 |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2007-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | ND2804 | FL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891249777 | Deborah Dobey Jackson | Licensed Practical Nurse | 4095 Country Club Rd, Spartanburg, SC 29302-4458 | 2016-08-09 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1780080929 | Deborah Jackson | Occupational Therapy Assistant | 280 Pine Forest Dr, Lawrenceville, GA 30046-6032 | 2014-11-17 |
| 1336107408 | Deborah A Jackson | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2006-05-01 |
| 1730738469 | Deborah L Jackson | Technician | 1510 Fort Davis Pl Se, Washington, DC 20020-6028 | 2019-09-05 |
| 1174051114 | Deborah Jackson | Registered Nurse | 405 Avenue of The States, Chester, PA 19013-4403 | 2017-06-02 |
| 1073057279 | Deborah Jackson | Nurse Practitioner | 2900 E University Dr Ste 110, Auburn, AL 36830-7729 | 2016-12-07 |
| 1740737485 | Deborah Jackson | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-09 |
| 1316399090 | Deborah Jackson | Counselor | 2212 Devine St Ste D, Columbia, SC 29205-2402 | 2016-07-06 |
| 1801254461 | Deborah Jackson | Community Based Residential Treatment Facility, Mental Illness | 1100 W 6th Ave, Gary, IN 46402 | 2016-02-10 |
| Street Address |
14114 ALABAMA ST |
| City | JAY |
| State | FL |
| Zip Code | 32565-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356325963 | Edward Brian Jorgensen | Neuromusculoskeletal Medicine & OMM | 14114 Alabama St, Jay Hospital, Jay, FL 32565 | 2005-12-06 |
| 1528619004 | Tyler Dewayne Roley | Physical Medicine & Rehabilitation | 14114 Alabama St, Jay, FL 32565-1219 | 2019-09-25 |
| 1013571397 | Taylor Elizabeth Miller | Physical Medicine & Rehabilitation | 14114 Alabama St, Jay, FL 32565-1219 | 2019-04-23 |
| 1255857470 | Lisa Newton | Physical Therapy Assistant | 14114 Alabama St, Jay, FL 32565-1219 | 2017-08-18 |
| 1700302916 | Mark Junior Morrow | Physical Therapy Assistant | 14114 Alabama St, Jay, FL 32565-1219 | 2017-08-18 |
| 1750807954 | Stephanie Jean Samons | Physical Therapy Assistant | 14114 Alabama St, Jay, FL 32565-1219 | 2017-08-18 |
| 1497271613 | Janet Elaine Pospiech | Physical Therapy Assistant | 14114 Alabama St, Jay, FL 32565-1219 | 2017-08-18 |
| 1114443520 | Alex Jones | Physical Therapist | 14114 Alabama St, Jay, FL 32565 | 2017-08-17 |
| 1063938579 | Rhonda L Heflin | Occupational Therapist | 14114 Alabama St, Jay, FL 32565-1219 | 2017-08-16 |
| 1083130546 | Thomas Michael Ashworth | Physical Therapy Assistant | 14114 Alabama St, Jay, FL 32565-1219 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336418946 | The Terrace At Ivey Acres of Jay | Assisted Living Facility | 3964 Florida Ave, Jay, FL 32565 | 2011-12-28 |
| 1982908497 | Dura-med Southeast Inc. | Durable Medical Equipment & Medical Supplies | 3877 Hwy 4, Jay, FL 32565 | 2010-12-28 |
| 1750416202 | Jay Pharmacy of Jay,fla Inc | Pharmacy | 14088 Ala St, Jay, FL 32565 | 2007-02-23 |
| 1588605059 | Gregory D Heaton | Optometrist | 14088 Alabama St, Jay, FL 32565 | 2006-06-08 |
| 1871546515 | Cleatious David Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565 | 2006-05-17 |
| 1497710313 | John-stewart Michael Smith | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2006-04-20 |
| 1407818313 | Marian Barraud Stewart | Pediatrics | 14088 Alabama Street, Jay, FL 32565-1036 | 2006-04-05 |
| 1700403854 | Equity Rx, Pllc | Pharmacy | 14088 Alabama St, Jay, FL 32565-1036 | 2020-07-05 |
| 1497014161 | J S Michael Smith Md Pa | Family Medicine | 14088 Alabama St, Jay, FL 32565-1036 | 2012-05-15 |
| 1710246483 | Jay Pediatrics Pa | Pediatrics | 14088 Alabama St, Jay, FL 32565-1036 | 2012-05-15 |
| Find all providers in zip 32565 | ||||
| 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 |
|---|---|---|---|---|
| 1235762600 | Alexis Nicole Fitzpatrick | Dietitian, Registered | 859 E Melton Dr, Jay, OK 74346-2704 | 2020-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
| 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.