MS. CORLISS COLLEEN JACKSON (NPI# 1861783730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861783730 |
| Entity Type | Individual |
| Full Name | MS. CORLISS COLLEEN JACKSON |
| Credential | REIKI MASTER |
| Practice Address |
1519w. Mesquite Street Chandler AZ 85224-5235 |
| Mailing Address |
1519 W Mesquite St Chandler AZ 85224-2236 |
| Practice Telephone | 4807208882 |
| Mailing Telephone | 4807208882 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1519W. MESQUITE STREET |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831548296 | Laura Brenza | Specialist | 3110 N Bentrup Cir, Chandler, AZ 85224-1008 | 2016-06-07 |
| 1043671282 | Daniel Lovelace | Specialist | 1392 N Santa Anna Ct, Chandler, AZ 85224-8527 | 2016-03-16 |
| 1699150318 | Shaena Lutz | Specialist | 1889 W Queen Creek Rd, #2062, Chandler, AZ 85248-3079 | 2015-07-23 |
| 1528445442 | Rachel Brodie | Specialist | 1976 N Lemon Tree Ln Unit 10, Chandler, AZ 85224-2536 | 2015-04-29 |
| 1942623939 | Wallace Medical Group | Specialist | 1986 E Glacier Pl, Chandler, AZ 85249-2886 | 2014-01-27 |
| 1619301264 | Ucr Medical Group Pllc | Specialist | 2745 S Alma School Rd Ste 2, Chandler, AZ 85286-4405 | 2013-08-29 |
| 1114159803 | Ashley Marie Christensen | Specialist | 5590 W Chandler Blvd, Suite 4, Chandler, AZ 85226-3697 | 2009-08-14 |
| 1336385640 | Paul Harris | Specialist | 870 N Evergreen St, Chandler, AZ 85225-7236 | 2008-12-17 |
| 1215103080 | Koki K Amin | Specialist | 643 W San Carlos Way, Chandler, AZ 85248-5173 | 2008-05-01 |
| 1427234640 | Frankie Jean Cook | Specialist | 2090 N Dobson Rd Ste 1, Chandler, AZ 85224-2394 | 2008-01-17 |
| Find all providers in CHANDLER | ||||
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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.