CHRISTA JACKSON (NPI# 1760791230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760791230 |
| Entity Type | Individual |
| Full Name | CHRISTA JACKSON |
| Practice Address |
1510 E Rusholme St Davenport IA 52803-2463 |
| Mailing Address |
500 W River Dr Davenport IA 52801-1014 |
| Practice Telephone | 5633363000 |
| Practice Fax Number | 5633441371 |
| Mailing Telephone | 5633363000 |
| Mailing Fax Number | 5633363125 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | B118673 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285942243 | Christa Lynn Jackson | Dental Hygienist | 4508 Saint Clair Avenue, Studio City, CA 91604 | 2010-09-23 |
| 1356719264 | Christa Jackson | Nurse Practitioner | 1 Lile Ct Ste 200, Little Rock, AR 72205-6240 | 2015-09-09 |
| Street Address |
1510 E RUSHOLME ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851842 | Susan K Schafer | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2006-10-05 |
| 1104277003 | Ashlee Misiag | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-06-22 |
| 1164878542 | Rebecca Wagschal | Midwife | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-05-04 |
| 1427418276 | Community Health Care, Inc | Clinic/Center | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-03-07 |
| 1164857504 | Tami Kay Sheldon | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2013-09-04 |
| 1770838773 | Janel Delyn Miner | Advanced Practice Midwife | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2012-07-17 |
| 1861767022 | Annika Kristine Omelia | Social Worker | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2012-03-20 |
| 1962728972 | Shannon Lee Schauer Leveridge | Obstetrics & Gynecology | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-04-15 |
| 1144545591 | Clare Bevin Harney | Obstetrics & Gynecology | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2010-03-29 |
| 1407908924 | Edgerton Womens Health Center | Nurse Practitioner | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2007-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871133439 | Valerie Dawn Ramsay | Advanced Practice Midwife | 321 San Carlo Rd, Davenport, FL 33896-7041 | 2020-01-13 |
| 1326689878 | Mattea Jo Otten | Advanced Practice Midwife | 1611 W 9th St, Davenport, IA 52804-4021 | 2019-10-07 |
| 1417596230 | Heather Faye Mink | Advanced Practice Midwife | 5350 Eastern Avenue, Davenport, IA 52807 | 2019-12-26 |
| 1083159354 | Melissa Daniels | Advanced Practice Midwife | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2016-12-22 |
| 1255680484 | Laura Elizabeth Sierra | Advanced Practice Midwife | 5350 Eastern Ave., Davenport, IN 52807-2709 | 2012-09-04 |
| 1154677193 | Lydia Jeanne Swailes | Advanced Practice Midwife | 5350 Eastern Ave., Davenport, IA 52807-2709 | 2012-07-27 |
| 1770838773 | Janel Delyn Miner | Advanced Practice Midwife | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2012-07-17 |
| 1740489855 | Jennifer H. Atzen | Advanced Practice Midwife | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2007-07-18 |
| 1902985781 | Pamela A Thorpe | Advanced Practice Midwife | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2006-11-03 |
| 1750474227 | Rachel Lynn Smith | Advanced Practice Midwife | 5350 Eastern Ave, Davenport, IA 52807-2709 | 2006-10-02 |
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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.