BIANCA JACKSON (NPI# 1891075636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891075636 |
| Entity Type | Individual |
| Full Name | BIANCA JACKSON |
| Practice Address |
2655 E Deer Springs Way Apt 2085 North Las Vegas NV 89086-1466 |
| Practice Telephone | 7023016867 |
| Mailing Telephone | 7023016867 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790293264 | Bianca Michelle Jackson | Specialist/Technologist | 16507 Mahogany Dr, Missouri City, TX 77489-3918 | 2018-01-17 |
| 1114306016 | Bianca Jackson | Speech-Language Pathologist | 1832 Stanocola Dr, Baton Rouge, LA 70807-3047 | 2015-05-26 |
| 1255940771 | Bianca Jackson | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2020-07-30 |
| Street Address |
2655 E DEER SPRINGS WAY APT 2085 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891314084 | Devin Michael Thrower | Rehabilitation Practitioner | 6616 Night Owl Bluff Ave, North Las Vegas, NV 89084-2027 | 2020-04-08 |
| 1790329175 | Martin Solomon Katz | Rehabilitation Practitioner | 3004 Pumpkin Harvest Ave, North Las Vegas, NV 89031-0393 | 2019-10-29 |
| 1851854814 | Robert A Taylor | Rehabilitation Practitioner | 719 Glenwood Springs Ave, North Las Vegas, NV 89032-7689 | 2019-04-08 |
| 1932661774 | Kiara R Savannah | Rehabilitation Practitioner | 2604 Campobello Ave, North Las Vegas, NV 89081-2423 | 2019-04-02 |
| 1174093538 | Francesca Nicole Tan Mangisel | Rehabilitation Practitioner | 3131 W Craig Rd Ste 108, North Las Vegas, NV 89032-0780 | 2018-11-28 |
| 1295213775 | Sheila O'neal | Rehabilitation Practitioner | 5135 Camino Al Norte # 115, North Las Vegas, NV 89031-2387 | 2018-08-06 |
| 1043705742 | Napoleon Stuckey | Rehabilitation Practitioner | 3924 Carla Ann Rd, North Las Vegas, NV 89081-4086 | 2018-06-25 |
| 1285129908 | Tyler Stuckey | Rehabilitation Practitioner | 3955 Keasberry Ave, North Las Vegas, NV 89081-6692 | 2018-06-25 |
| 1528553237 | Sean Reeder | Rehabilitation Practitioner | 4033 Grant Hill Ave, North Las Vegas, NV 89081-6648 | 2018-06-25 |
| 1467947457 | Karina Marie Flores | Rehabilitation Practitioner | 4349 Sharpshooter Ln, North Las Vegas, NV 89031-2197 | 2018-06-22 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
Please comment or provide details below to improve the information on BIANCA 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.