KATHRYN LANO JACKSON (NPI# 1790907764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790907764 |
| Entity Type | Individual |
| Full Name | KATHRYN LANO JACKSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
421 Nut Tree Rd Suite 140 Vacaville CA 95687-3508 |
| Mailing Address |
1001 Nut Tree Road Suite 140 Vacaville CA 95687 |
| Practice Telephone | 7076247550 |
| Practice Fax Number | 7076247501 |
| Mailing Telephone | 7074489350 |
| Mailing Fax Number | 7074483572 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 441569 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA BRN NURSE PRACTITIONER | 441569 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710478144 | Kathryn Jackson | Social Worker | 18331 Wolfpack Way, Hagerstown, MD 21740-3583 | 2018-05-22 |
| 1609048735 | Kathryn Martin Jackson | Speech-Language Pathologist | 1879 E Robinson Ave, Springdale, AR 72764-5713 | 2008-03-28 |
| 1780661694 | Kathryn Jackson | Registered Nurse | 6002 Westgate Blvd Ste 274, Tacoma, WA 98406-2571 | 2005-12-30 |
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1649888314 | Kathryn Jackson | Speech-Language Pathologist | 7281 W Charleston Blvd, Las Vegas, NV 89117-1592 | 2020-07-20 |
| 1659936607 | Kathryn Marie Jackson | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2019-05-06 |
| 1558829861 | Kathryn Jackson | Behavioral Analyst | 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 | 2019-03-05 |
| 1942707914 | Kathryn Elizabeth Jackson | Occupational Therapist | 905 Arrowhead Trl, Warner Robins, GA 31088-5390 | 2018-04-06 |
| 1447632922 | Kathryn Miles Jackson | Audiologist | 1505 Sw Cary Pkwy, Suite 301, Cary, NC 27511-6219 | 2015-06-22 |
| 1295160091 | Kathryn Jackson | Counselor | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2013-09-11 |
| Street Address |
421 NUT TREE RD SUITE 140 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111022 | Alfredo Ovalle | Family Medicine | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2005-11-17 |
| 1871029462 | Kevin Xunan | Family Medicine | 421 Nut Tree Rd, Vacaville, CA 95687 | 2017-05-03 |
| 1326413121 | Cheryl Jobe | Nurse Practitioner | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2015-12-04 |
| 1053540120 | Nicolas Richard Lazarewicz | Nurse Practitioner | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2009-07-09 |
| 1487818373 | Ali Hassani | Internal Medicine | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2008-07-10 |
| 1932387362 | David C Schreiber | Nurse Practitioner | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2008-02-07 |
| 1184842007 | Angela Wing-chee Lim | Neuromusculoskeletal Medicine & OMM | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2007-04-23 |
| 1679656573 | Ana Cherry | Family Medicine | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2006-10-23 |
| 1063506756 | Stephen R Newman | Family Medicine | 421 Nut Tree Rd, Vacaville, CA 95687 | 2006-10-03 |
| 1356448237 | Sandra Beth Skates | Neuromusculoskeletal Medicine & OMM | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2006-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1932293487 | Patricia K Peters | Nurse Practitioner | 770 Mason Street, Vacaville, CA 95688 | 2006-10-02 |
| 1861043788 | Mandeep Singh | Nurse Practitioner | 1679 E Monte Vista Ave Ste 104, Vacaville, CA 95688-3123 | 2019-09-23 |
| 1134675176 | Mariela Woods | Nurse Practitioner | 770 Mason St, Vacaville, CA 95688-4646 | 2016-08-30 |
| 1932446598 | Hannah Crowl | Nurse Practitioner | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2013-01-15 |
| 1689978652 | Omotayo O Alamutu | Nurse Practitioner | 1600 California Drive, Vacaville, CA 95687 | 2011-01-05 |
| 1053540120 | Nicolas Richard Lazarewicz | Nurse Practitioner | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2009-07-09 |
| 1861545444 | Dawn Adele Taylor | Nurse Practitioner | 3700 Vaca Valley Pkwy, Minor Injury Clinic Kaiser Vacaville, Vacaville, CA 95688-9430 | 2007-01-18 |
| 1659439602 | Susan J. Rosten | Nurse Practitioner | 1020 Nut Tree Rd, Suite 290, Vacaville, CA 95687-4100 | 2006-12-04 |
| 1962586339 | Joanna Trolinger | Nurse Practitioner | 770 Mason St, Vacaville, CA 95688-4646 | 2006-10-24 |
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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.