CYNTHIA JACKSON (NPI# 1801250782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801250782 |
| Entity Type | Individual |
| Full Name | CYNTHIA JACKSON |
| Practice Address |
520 E Tulare Ave Visalia CA 93292-3629 |
| Practice Telephone | 5596230900 |
| Mailing Telephone | 5596230900 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205789 | Cynthia Jackson | Technician | 2834 Green Bank Rd, Arbovale, WV 24915-5565 | 2020-08-13 |
| 1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1134759863 | Cynthia Rana Jackson | Home Health | 1206 W Central Ave, Coolidge, AZ 85128-9165 | 2020-01-22 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1619441102 | Cynthia Lee Jackson | Licensed Vocational Nurse | 1646 Best Blvd, Wichita Falls, TX 76301-8144 | 2019-01-17 |
| 1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
| 1396298451 | Cynthia Elaine Jackson | Technician, Other | 29167 Village Rd, Southfield, MI 48034-1222 | 2016-07-25 |
| 1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
| 1932534047 | Cynthia A Jackson | Home Health Aide | 2801 Eagle St, Houston, TX 77004-4543 | 2013-09-08 |
| Street Address |
520 E TULARE AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93292-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232990 | Mary Ann Flavan | Psychiatry & Neurology | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2006-05-16 |
| 1063012300 | Corinna Rosalia Franco | Case Manager/Care Coordinator | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-10-27 |
| 1881202315 | Stephanie Danielle Crawford | Student in an Organized Health Care Education/Training Program | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-07-21 |
| 1497372106 | Diana Maricela Marquez-ruiz | Case Manager/Care Coordinator | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-06-29 |
| 1811525348 | Irene Claudia Henriquez | Case Manager/Care Coordinator | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-03-30 |
| 1184256240 | Brandi Kay Holdbrooks | Student in an Organized Health Care Education/Training Program | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-02-06 |
| 1477184448 | Steven E Leslie | Licensed Psychiatric Technician | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-01-29 |
| 1831720960 | Alexandria Celedon | Licensed Psychiatric Technician | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-01-28 |
| 1619517794 | Diane Louise Nanez | Social Worker | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-01-07 |
| 1770121139 | Klair Dominique Fayne | Student in an Organized Health Care Education/Training Program | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2019-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578191565 | Deborah Mcgee Millner | Marriage & Family Therapist | 520 E. Tulare Avenue, Visalia, CA 93292 | 2020-03-27 |
| 1699316174 | Comfy Medical Transportation | Non-emergency Medical Transport (VAN) | 2321 S Cain Ct, Visalia, CA 93292 | 2019-10-04 |
| 1730671363 | Denise Giroux | Dietitian, Registered | 3316 E Birch Ct, Visalia, CA 93292 | 2018-05-30 |
| 1598262180 | Emily Marie Delgado | Case Manager/Care Coordinator | 3923 E Vassar Ct, Visalia, CA 93292 | 2018-04-10 |
| 1679076509 | Courtney Anne Penebaker | Counselor | 1425 East Walnut, Visalia, CA 93292 | 2018-03-16 |
| 1568999688 | Shu-jen Lee Shaw | Case Manager/Care Coordinator | 520 E. Tulare Ave., Visalia, CA 93292 | 2017-05-19 |
| 1225585771 | Federico Ramirez | Case Manager/Care Coordinator | 543 E Tulare Ave, Visalia, CA 93292 | 2016-09-01 |
| 1558762369 | John Brickley Kelleher | Pharmacist | 616 E Buena Vista Ave, Visalia, CA 93292 | 2014-09-11 |
| 1609285618 | Rosemary Carrasco Leon | Obstetrics & Gynecology | 32665 Ray Court Street, Visalia, CA 93292 | 2014-08-05 |
| 1407118219 | Geethanjali Suratkal Pandey | Pharmacist | 2733 E Connelly Ave, Visalia, CA 93292 | 2012-06-08 |
| Find all providers in zip 93292 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336446921 | Martin Thompson | Licensed Psychiatric Technician | 14281 Avenue 328, Visalia, CA 93292-9329 | 2011-02-17 |
| 1578608568 | Jacqueline P Rojas | Licensed Psychiatric Technician | 6500 S Mooney Blvd, Suite B, Visalia, CA 93277-9535 | 2007-02-20 |
| 1477184448 | Steven E Leslie | Licensed Psychiatric Technician | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-01-29 |
| 1831720960 | Alexandria Celedon | Licensed Psychiatric Technician | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2020-01-28 |
| 1184034910 | Erica Ernestina Dejesus | Licensed Psychiatric Technician | 711 N Court St, Visalia, CA 93291-3638 | 2014-05-01 |
| 1295168201 | Kasandra Castillo | Licensed Psychiatric Technician | 1830 S Central St, Visalia, CA 93277-4418 | 2013-08-13 |
| 1902241201 | Jesus Vanessa Valencia Solis | Licensed Psychiatric Technician | 711 N Court St, Visalia, CA 93291-3638 | 2013-05-01 |
| 1235499674 | Angela C Romanello | Licensed Psychiatric Technician | 711 N Court St, Visalia, CA 93291-3638 | 2012-05-18 |
| 1396021622 | Sergio Alejo | Licensed Psychiatric Technician | 711 N Court St, Visalia, CA 93291-3638 | 2011-11-01 |
| 1225331259 | Adolph Borunda | Licensed Psychiatric Technician | 11200 Avenue 368, Visalia, CA 93291-8940 | 2010-12-14 |
| Find all providers in VISALIA | ||||
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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.