OLIVIA JACKSON (NPI# 1811315542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811315542 |
| Entity Type | Individual |
| Full Name | OLIVIA JACKSON |
| Practice Address |
5001 Rockside Rd Independence OH 44131-2172 |
| Practice Telephone | 2169864000 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT005957 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700922176 | Olivia Jackson | Marriage & Family Therapist | 455 1st, Suite B2, Arcuta, CA 95521 | 2007-01-30 |
| 1689272759 | Olivia Jackson | Dietitian, Registered | 4800 48th St, Valley, AL 36854-3666 | 2020-10-12 |
| 1154944791 | Olivia Jackson | Student in an Organized Health Care Education/Training Program | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-05-18 |
| 1467723320 | Olivia Jackson | Registered Nurse | 590 Avenue of The Americas, New York, NY 10011-2019 | 2012-01-24 |
| 1699078014 | Olivia Jackson | Licensed Vocational Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2010-12-07 |
| Street Address |
5001 ROCKSIDE RD |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134160377 | Amelia Cleveland-traylor | Obstetrics & Gynecology | 5001 Rockside Rd, In20, Independence, OH 44131-2172 | 2006-06-09 |
| 1750982138 | Bridget Patricia Kamp | Pediatrics | 5001 Rockside Rd, Independence, OH 44131-2172 | 2020-11-03 |
| 1891312328 | Susan Marie Kronk | Physical Therapist | 5001 Rockside Rd, Independence, OH 44131-2172 | 2020-06-30 |
| 1659855211 | Emily Mcfern | Nurse Practitioner | 5001 Rockside Rd, Independence, OH 44131-2172 | 2018-09-19 |
| 1114404159 | Ni Ketut Kumala Dewi Hariadi | Nurse Practitioner | 5001 Rockside Rd, Independence, OH 44131-2172 | 2018-07-23 |
| 1629554514 | Matthew Krohn | Nurse Practitioner | 5001 Rockside Rd, Independence, OH 44131-2172 | 2018-07-14 |
| 1629510763 | Diane Dobrovic | Nurse Practitioner | 5001 Rockside Rd, Independence, OH 44131-2172 | 2016-11-07 |
| 1497136584 | Leah A Ristow | Nurse Practitioner | 5001 Rockside Rd, Independence, OH 44131-2172 | 2015-06-15 |
| 1235522244 | Jacquelynn Mary Shank | Physician Assistant | 5001 Rockside Rd, Independence, OH 44131 | 2015-03-16 |
| 1205236023 | Cleveland Clinic | Clinic/Center | 5001 Rockside Rd, Independence, OH 44131-2172 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1215494711 | Jordan Taylor Stiers | Specialist/Technologist | 15103 E 41st St S, Independence, MO 64055-4116 | 2019-02-21 |
| 1043774375 | Kearston Mcginnis | Specialist/Technologist | 19104 Holke Rd, Independence, MO 64057-1402 | 2019-01-31 |
| 1619447802 | Brandon Germany | Specialist/Technologist | 4401 Rockside Rd Ste 401, Independence, OH 44131-2147 | 2018-11-29 |
| 1396239356 | Samantha Duncan | Specialist/Technologist | 12067 Bowman Rd, Independence, KY 41051-9735 | 2018-06-21 |
| 1518468834 | Destiny N Crawford | Specialist/Technologist | 2779 Sycamore Creek Dr, Independence, KY 41051-8408 | 2018-02-22 |
| 1821531492 | Madison Rae Clark | Specialist/Technologist | 15413 E 3rd Ter S, Independence, MO 64050-2289 | 2016-11-29 |
| 1144605098 | Tyler Stoltman | Specialist/Technologist | 19550 E 39th St S Ste 230, Independence, MO 64057-2309 | 2015-07-21 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1043601230 | Alena Mcloughlin | Specialist/Technologist | 4300 S Union St, Independence, MO 64055-4514 | 2015-02-10 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.