MIRANDA JEAN JACKSON (NPI# 1750683447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750683447 |
| Entity Type | Individual |
| Full Name | MIRANDA JEAN JACKSON |
| Practice Address |
55981 E Colfax Ave Strasburg CO 80136-8014 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5147 |
| Practice Telephone | 7196325700 |
| Practice Fax Number | 7193447817 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447817 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0011343 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 28034546 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447888243 | Miranda Jackson | Registered Nurse | 1418 Hampton Park Ln, Melbourne, FL 32940-8143 | 2020-03-29 |
| 1215592225 | Miranda C Jackson | Technician, Pathology | 16318 Espinosa Dr, Houston, TX 77083-2812 | 2019-05-06 |
| 1922355460 | Miranda Beth Jackson | Social Worker | 89 W Fayette St, Uniontown, PA 15401-3253 | 2012-08-14 |
| 1306145867 | Miranda Hulett Jackson | Pharmacist | 711 Campbell Ln, Bowling Green, KY 42104-1040 | 2011-03-23 |
| Street Address |
55981 E COLFAX AVE |
| City | STRASBURG |
| State | CO |
| Zip Code | 80136-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473718 | Glen W Fishman | Dentist | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2006-03-31 |
| 1497208607 | Amanda Judd | Nurse Practitioner | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2016-07-25 |
| 1548648611 | Jonathan Plaza | Student in an Organized Health Care Education/Training Program | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2015-05-11 |
| 1467870659 | Jonie Maclennan | Dental Hygienist | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2014-04-03 |
| 1275898587 | Ann Tompkins | Counselor | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2012-07-12 |
| 1558620260 | Ee-leng Dejesus | Family Medicine | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2012-05-15 |
| 1407920101 | Thomas R Avonda | Family Medicine | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2006-11-17 |
| 1134152325 | Lisa Renee Ramey | Pediatrics | 55981 E Colfax Ave, Strasburg, CO 80136-8014 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541842 | Charlotte Robinson | Physical Therapist | 56171 E Colfax Ave, Strausburg, CO 80136 | 2019-01-10 |
| 1174007843 | Michael Jason Levin | Physical Therapist | 56171 E Colfax Ave #6, Strasburg, CO 80136 | 2018-09-19 |
| 1497251607 | Christina Theresa Lasnier | Physical Therapy Assistant | 56171 E Colfax Ave Unit 6, Strasburg, CO 80136 | 2018-04-05 |
| 1609225663 | Kevin Michael Cowell | Physical Therapist | 56171 Colfax Ave, Strasburg, CO 80136 | 2016-06-09 |
| 1710374640 | Comanche Crossing Counseling, LLC | Counselor | 56541 East Colfax Ave., Suite B, Strasburg, CO 80136 | 2015-04-17 |
| 1720493240 | Douglas Whetten | Dentist | 56620 E Colfax Ave, Strasburg, CO 80136 | 2014-06-23 |
| 1851710065 | Peak Vista Community Health Centers | Clinic/Center | 55981 E Colfax Avenue, Strasburg, CO 80136 | 2014-04-15 |
| 1346581253 | Nicholas George Outterson | Veterinarian | 56151 East Colfax Avenue, Strasburg, CO 80136 | 2013-03-04 |
| 1205012531 | Lisa Madrid | Social Worker | 56541 E. Colfax, B, Strasburg, CO 80136 | 2008-01-16 |
| 1881886356 | Kristi L Spanier | Physical Therapist | 56171 East Colfax Avenue, Unit 6, Strasburg, CO 80136 | 2007-08-17 |
| Find all providers in zip 80136 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104020965 | Shirley Ann Henry Lyons | Counselor | 109 E Main St, Strasburg, PA 17579-1411 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1619577228 | Barry Fowler | Counselor | 19649 W 92nd Dr Apt A, Arvada, CO 80007-8175 | 2020-11-01 |
| 1700486388 | Judy Lynn Austin | Counselor | 281 Gulch Rd, Durango, CO 81303-6452 | 2020-10-31 |
| 1912506536 | David Nasralla | Counselor | 422 Pagosa St Ste 9, Pagosa Springs, CO 81147-9955 | 2020-10-24 |
| 1134727308 | Bristlecone Family Counseling: Mental Health Counseling for Children & | Counselor | 700 Valley View Dr, Woodland Park, CO 80863-8370 | 2020-10-11 |
| 1043818230 | Carly Barone | Counselor | 9503 Castle Ridge Cir, Highlands Ranch, CO 80129-5700 | 2020-10-11 |
| 1629675160 | Allison Bratsch, Lpc, LLC | Counselor | 8791 Wolff Ct Ste 230, Westminster, CO 80031-3693 | 2020-10-07 |
| 1881291516 | Erin Michelle Lair | Counselor | 120 Kilgore St, Colorado Springs, CO 80911-2231 | 2020-10-06 |
| 1457968646 | Reginald A Moore | Counselor | 2878 W Riverwalk Cir Unit B, Littleton, CO 80123-8919 | 2020-09-30 |
| 1497362826 | Stacey Stafford | Counselor | 1511 W 124th Ave Ste 200, Westminster, CO 80234-1882 | 2020-09-29 |
| 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.