KIMBERLY JACKSON (NPI# 1861602211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861602211 |
| Entity Type | Individual |
| Full Name | KIMBERLY JACKSON |
| Practice Address |
1201 Sam Perry Blvd Fredericksburg VA 22401-4490 |
| Mailing Address |
102 Mews Ct Stafford VA 22556-3888 |
| Practice Telephone | 5407417076 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119003229 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951394 | Kimberly Sue Jackson | Home Health Aide | 26 W Warner Rd, Coventry Township, OH 44319-1732 | 2020-10-29 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1184244063 | Kimberly Jackson | Music Therapist | 121 Koeppe Dr, Sequim, WA 98382-9489 | 2020-04-21 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1386188332 | Kimberly Jackson | Dietitian, Registered | 2318 Longcourt Way Se, Atlanta, GA 30339-0902 | 2016-12-10 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1639535719 | Kimberly Renee Jackson | Massage Therapist | 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 | 2016-01-05 |
| 1275934887 | Kimberly Jackson | Counselor | 213 Barrett St, Wilmington, DE 19802-2004 | 2014-09-15 |
| 1972930279 | Kimberly Jackson | Nurse's Aide | 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 | 2013-10-01 |
| Street Address |
1201 SAM PERRY BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215471941 | Brittany Jillian Cary | Nurse Practitioner | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2016-12-14 |
| 1811325764 | Mishell Ellis | Nurse Practitioner | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2013-10-30 |
| 1821259557 | Melissa Ann Chambers | Clinic/Center | 1201 Sam Perry Blvd, Suite 101, Fredericksburg, VA 22401-4490 | 2008-06-25 |
| 1457552143 | Lynn Anne Delash | Occupational Therapist | 1201 Sam Perry Blvd, Suite 240, Fredericksburg, VA 22401-4490 | 2007-05-30 |
| 1992906010 | Karen Anne Franklin | Physical Therapist | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-29 |
| 1801097738 | Susan Patricia Rohde | Speech-Language Pathologist | 1201 Sam Perry Blvd, Ste 240, Fredericksburg, VA 22401-4490 | 2007-05-29 |
| 1013128461 | Susan Reiko Hoshi | Physical Therapist | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-25 |
| 1285845198 | Stephanie Noelle Campbell | Speech-Language Pathologist | 1201 Sam Perry Blvd, Suite 240, Fredericksburg, VA 22401-4490 | 2007-05-24 |
| 1932319712 | Shauna Renee Dickinson | Speech-Language Pathologist | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-23 |
| 1003026444 | Carol Gaudio | Occupational Therapy Assistant | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538724760 | Gillian Brandes | Occupational Therapist | 1955 Jefferson Davis Hwy Ste 100, Fredericksburg, VA 22401-6226 | 2019-05-02 |
| 1689169856 | Julie Annette White | Occupational Therapist | 1931 Plank Rd Ste 206, Fredericksburg, VA 22401-5183 | 2018-06-28 |
| 1659864692 | Donovan Darland | Occupational Therapist | 2412 Pittston Rd, Fredericksburg, VA 22408-0282 | 2018-06-13 |
| 1508365933 | Pamela J Quigley-brennan | Occupational Therapist | 1000 Forbes St, Fredericksburg, VA 22405-1494 | 2018-02-12 |
| 1902328891 | Jessica Whitney Weiss | Occupational Therapist | 10530 Spotsylvania Ave # 102, Fredericksburg, VA 22408-2693 | 2017-07-12 |
| 1659784486 | Tristan Filkoski | Occupational Therapist | 9300 Onyx Ct, Fredericksburg, VA 22407-9329 | 2014-06-10 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1649510637 | Emily Jean Hoiska | Occupational Therapist | 6106 Healthcare Ln, Fredericksburg, VA 22407 | 2013-02-27 |
| 1235477530 | Elizabeth Ciciarelli | Occupational Therapist | 101 Bonair St, Fredericksburg, VA 22405-2797 | 2013-01-21 |
| 1982965265 | Jenna Marie Campbell | Occupational Therapist | 8020 River Stone Dr, Fredericksburg, VA 22407 | 2012-06-04 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on KIMBERLY JACKSON.
| 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.