ANNIEKA JACKSON (NPI# 1851921019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851921019 |
Entity Type | Individual |
Full Name | ANNIEKA JACKSON |
Practice Address |
860 Melrose Ave Bronx NY 10451-4443 |
Mailing Address |
815 Ocean Ave Apt 1b Brooklyn NY 11226-5945 |
Practice Telephone | 9174736996 |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
722776 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | JAC-87-8257 | 05 |
Street Address |
860 MELROSE AVE |
City | BRONX |
State | NY |
Zip Code | 10451-4443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023186749 | Alexey Dmitriyev | Social Worker | 860 Melrose Ave, Bronx, NY 10451-4443 | 2006-12-01 |
1285231290 | Caroline Kemp | Social Worker | 860 Melrose Ave, Bronx, NY 10451-4443 | 2020-10-02 |
1174130116 | Hannah Lee | Social Worker | 860 Melrose Ave, Bronx, NY 10451-4443 | 2020-09-24 |
1528671773 | Jacqueline Larsen | Psychologist | 860 Melrose Ave, Bronx, NY 10451-4443 | 2020-08-27 |
1700497278 | Christine Anne Connelly | Social Worker | 860 Melrose Ave, Bronx, NY 10451-4443 | 2020-08-10 |
1114536786 | Lystra Angella Lessey | Social Worker | 860 Melrose Ave, Bronx, NY 10451-4443 | 2020-07-29 |
1700425790 | Rachelle Hirsch | Assistant Behavior Analyst | 860 Melrose Ave, Bronx, NY 10451-4443 | 2019-12-23 |
1841836905 | Tiphany Marie Cruz | Developmental Therapist | 860 Melrose Ave, Bronx, NY 10451-4443 | 2019-11-25 |
1578109260 | Abigail Ionie Caesar | Social Worker | 860 Melrose Ave, Bronx, NY 10451-4443 | 2019-11-18 |
1790329514 | Viviana Peralta | Early Intervention Provider Agency | 860 Melrose Ave, Bronx, NY 10451-4443 | 2019-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
Find all providers in zip 10451 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
1023661592 | Abigail Mercedes | Registered Nurse | 423f E 137th St # 423f, Bronx, NY 10454-4067 | 2019-07-23 |
1649733106 | Lillian J Sumpter | Registered Nurse | 2953 Bruner Ave Ph, Bronx, NY 10469-3313 | 2019-04-11 |
1760922041 | Alex Clark | Registered Nurse | 4196 Park Ave, Bronx, NY 10457-6009 | 2017-03-06 |
1487057444 | Linda Idi | Registered Nurse | 870 Southern Blvd Apt 1a, Bronx, NY 10459-4526 | 2014-10-06 |
1215220033 | Michael Rotshtein | Registered Nurse | 36000 Jerome Ave, Bronx, NY 10457 | 2011-05-26 |
1629209788 | Sinksar Bahru Solomon | Registered Nurse | 930 Ogden Ave, Apartment # 31, Bronx, NY 10452-5548 | 2009-08-06 |
1306013859 | Nancy Ezediaro-efobi | Registered Nurse | 1780 Stillwell Avenue, Bronx, NY 10469-6409 | 2008-05-14 |
1629698931 | Adriana Carrillo | Registered Nurse | 2780 3rd Ave, Bronx, NY 10455-4029 | 2020-04-16 |
1457900904 | Andrea Cummings | Registered Nurse | 2336 Grand Concourse, Bronx, NY 10458-6903 | 2019-09-07 |
Find all providers in BRONX |
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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.