KRISTINA M JACKSON (NPI# 1821061474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821061474 |
| Entity Type | Individual |
| Full Name | KRISTINA M JACKSON |
| Credential | AUD. |
| Practice Address |
4600 Main St Suite 201 Amherst NY 14226-4500 |
| Practice Telephone | 7168334488 |
| Practice Fax Number | 7168391218 |
| Mailing Telephone | 7168334488 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2010-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 001607-0 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BC/BS-AUDIOLOGIST-OP | 000576103003 | 01 |
| NY | BC/BS-HEARING AID-H | 000580000003 | 01 |
| NY | BC/BS-HEARING AID-OP | 000580000005 | 01 |
| NY | UNIVERA | 00011176701 | 01 |
| NY | IHA | 9200301 | 01 |
| NY | BC/BS-AUDIOLOGIST-H | 000576103001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600770 | Kristina Jackson | Counselor | 5160 Dogwood Trl, Eight Mile, AL 36613-8505 | 2016-06-17 |
| 1083042345 | Kristina Yvette Jackson | Technician/Technologist | 16770 Pheasant Trail Pl, Strongsville, OH 44136-6369 | 2013-10-24 |
| 1235616863 | Kristina Jackson | Counselor | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2018-07-26 |
| 1023477114 | Kristina Jackson | Marriage & Family Therapist | 2309 Pacific Coast Hwy, Suite 102, Hermosa Beach, CA 90254-2751 | 2016-02-17 |
| 1689010738 | Kristina E Jackson | Family Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2013-05-16 |
| 1184966087 | Kristina Jackson | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-03-19 |
| 1225391006 | Kristina Ashley Jackson | Social Worker | 2928 W 36th St, Brooklyn, NY 11224-1410 | 2012-06-18 |
| 1780990531 | Kristina Janet Jackson | Student in an Organized Health Care Education/Training Program | 1145 Gayley Ave, Suite 322, Los Angeles, CA 90024-3423 | 2010-08-30 |
| 1558684183 | Kristina Gayle Jackson | Registered Nurse | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2010-03-10 |
| 1740350586 | Kristina G Jackson | Family Medicine | 480 Maple St, Danvers, MA 01923 | 2006-11-09 |
| Street Address |
4600 MAIN ST SUITE 201 |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213493 | Anne P Orsene | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2006-02-09 |
| 1962888487 | Alyssa D Smyczynski | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2015-08-06 |
| 1144638800 | Claire Beers Mcintosh | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2014-07-25 |
| 1255779625 | Carolyn W Yates | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2013-06-07 |
| 1720309073 | Rebecca L Witter | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2010-06-21 |
| 1265765192 | Nicole L Ball | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2009-09-10 |
| 1144496712 | Nicole E Baumgartner | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2008-05-05 |
| 1306034418 | Edward Lobarinas | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2007-10-15 |
| 1578753901 | Jill C Bernstein | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2007-08-01 |
| 1194922468 | Lisa E Esler-brauer | Dermatology | 4600 Main St, Suite 100, Amherst, NY 14226-4500 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423213 | Kimberly R Dahar | Audiologist | 4600 Main St Ste 201, Amherst, NY 14226-4500 | 2018-07-13 |
| 1316159585 | David Armand Pucci | Audiologist | 435 Campus Dr, Amherst, NY 14226-3623 | 2007-05-03 |
| 1346213493 | Anne P Orsene | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2006-02-09 |
| 1528052933 | Christine Graf | Audiologist | 315 Alberta Dr, Suite 105, Amherst, NY 14226-1814 | 2005-08-31 |
| 1174030852 | David Michael Gooler | Audiologist | 358 N Pleasant St, Amherst, MA 01003-9296 | 2018-01-04 |
| 1962888487 | Alyssa D Smyczynski | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2015-08-06 |
| 1144638800 | Claire Beers Mcintosh | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2014-07-25 |
| 1255779625 | Carolyn W Yates | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2013-06-07 |
| 1861736266 | Nathaniel Anthony Whitmal IIi | Audiologist | 358 N Pleasant St, Room 305a, Amherst, MA 01003-9296 | 2012-11-26 |
| 1720309073 | Rebecca L Witter | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2010-06-21 |
| Find all providers in AMHERST | ||||
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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.