LINDA D JACKSON (NPI# 1902906548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902906548 |
| Entity Type | Individual |
| Full Name | LINDA D JACKSON |
| Credential | RN,MSN,NP-C |
| Practice Address |
1925 E Orman Ave Suite A 535 Pueblo CO 81004-3537 |
| Mailing Address |
694 S Calaveras Dr Pueblo West CO 81007-1942 |
| Practice Telephone | 7195640450 |
| Practice Fax Number | 7195641659 |
| Mailing Telephone | 7195640450 |
| Mailing Fax Number | 7195641659 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CO76267 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 38330750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558741512 | Linda Jackson | Community Health Worker | 5070 Coleridge Dr, Fairfax, VA 22032-2416 | 2015-06-04 |
| 1285944538 | Linda Jackson | Counselor | 2817 Se 47th St, Oklahoma City, OK 73129-8727 | 2010-10-19 |
| 1417282955 | Linda Carol Jackson | Physical Therapy Assistant | 9200 S County Road 300 W, Muncie, IN 47302-8833 | 2009-10-15 |
| 1992943492 | Linda Gail Jackson | Registered Nurse | 28 Violet Rd, Kings Park, NY 11754-2336 | 2009-01-22 |
| 1144305046 | Linda M Jackson | Counselor | 417 Ipock St, Vanceboro, NC 28586-7996 | 2006-10-26 |
| 1033292842 | Linda L. Jackson | Counselor | 2735 Henning Dr, Winston Salem, NC 27106-4578 | 2006-10-23 |
| 1487742102 | Linda Johnson Jackson | Psychologist | 10701 Corporate Dr Ste 220, Stafford, TX 77477-4093 | 2006-10-10 |
| 1952910812 | Linda Joyice Jackson | Home Health Aide | 1516 E Tropicana Ave Ste 199, Las Vegas, NV 89119-8323 | 2020-07-27 |
| 1932766946 | Linda Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-24 |
| 1053816314 | Linda Natasha Rene Jackson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| Street Address |
1925 E ORMAN AVE SUITE A 535 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282498 | Gary E Lane | Surgery | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | 2005-08-19 |
| 1518385632 | Chafonta Laniece Whatley | Nurse Practitioner | 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 | 2014-04-04 |
| 1083988091 | Moira Annette Sergejev | Nurse Practitioner | 1925 E Orman Ave, Suite 440, Pueblo, CO 81004-3537 | 2012-03-08 |
| 1770733743 | Mallikarjuna Nallegowda | Pain Medicine | 1925 E Orman Ave, Suite A-235, Pueblo, CO 81004-3537 | 2008-09-25 |
| 1831351303 | David Boyd Cox | Surgery | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2008-06-26 |
| 1588826259 | Eugene D. Chen, Md. Pllc | Surgery | 1925 E Orman Ave, Pueblo, CO 81004-3537 | 2008-06-25 |
| 1790975043 | Pamela Joy Cornella | Nurse Practitioner | 1925 E Orman Ave, A640, Pueblo, CO 81004-3537 | 2007-08-01 |
| 1669681581 | Heritage Internal Medicine, PC | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-05-21 |
| 1457483067 | Roxann D Murphy | Hearing Instrument Specialist | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2007-03-09 |
| 1205987583 | Christian G Hulett | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288977 | Megan Jay Warden | Nurse Practitioner | 2099 W Us Highway 50 Ste 150-b, Pueblo, CO 81008-1665 | 2019-07-31 |
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1497178172 | Theresa Kuhn | Nurse Practitioner | 4112 Outlook Blvd Ste 325, Pueblo, CO 81008-1667 | 2014-01-30 |
| 1952579773 | Karen Delacruz | Nurse Practitioner | 902 Lakeview, Pueblo, CO 81004 | 2008-02-14 |
| 1700082021 | Christine Marie Cruz | Nurse Practitioner | 1406 W 17th St, Pueblo, CO 81003-1927 | 2007-06-24 |
| 1063554426 | Jay A Balestrieri | Nurse Practitioner | 400 W 17th St, Pueblo, CO 81003-2649 | 2007-02-13 |
| 1447331830 | Deborah Lynn Chase | Nurse Practitioner | 1925 E Orman Ave Ste 440, Pueblo, CO 81004-3551 | 2006-10-18 |
| 1043276686 | Carla R Beswick | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2006-04-22 |
| 1174124838 | Jenna Rawlings | Nurse Practitioner | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | 2020-11-07 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
| Find all providers in PUEBLO | ||||
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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.