CAMERON JACKSON


Address: 10490 167th St W, Lakeville, MN 55044-5686
Phone: 9522707414

CAMERON JACKSON (NPI# 1942746177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942746177
Entity Type Individual
Full Name CAMERON JACKSON
Practice Address 10490 167th St W
Lakeville
MN 55044-5686
Practice Telephone 9522707414
Mailing Telephone 9522707414
Enumeration Date 2017-01-11
Last Update Date 2017-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers CAMERON JACKSON

NPI Name Taxonomy Address Enumeration
1174686174 Cameron Lee Jackson Chiropractor 12941 North Fwy, Suite 216, Houston, TX 77060-1240 2006-12-19
1841897006 Cameron James Jackson Counselor 155 Center St, Auburn, ME 04210-5229 2020-10-01
1245717610 Cameron Keith Jackson Jr. Community Health Worker 199 S Central Ave, Columbus, OH 43223-1301 2018-07-27
1497249841 Cameron S Jackson Clinical Neuropsychologist 127 Jewell St, Santa Cruz, CA 95060-1717 2018-06-19

Office Location

Street Address 10490 167TH ST W
City LAKEVILLE
State MN
Zip Code 55044-5686

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518528397 Fairview Pharmacy Services LLC Non-Pharmacy Dispensing Site Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 2019-06-24
1164922373 Invigorate Chiropractic, Pa Chiropractor 18449 Orchard Trail, Lakeville, MN 55044 2018-02-14
1275046344 Kevin Schultz Chiropractor 18449 Orchard Tr, Lakeville, MN 55044 2017-11-13
1518487263 Katarina Klementina Foster Dentist 16138 Pilot Knob Rd, Lakeville, MN 55044 2017-06-23
1275069676 Alison Marie Weaver Physical Therapist 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 2017-05-04
1184177479 Megan Erickson Physical Therapist 21034 Heron Way Ste 102, Lakeville, MN 55044 2016-08-03
1669827523 Kristine Louise Duhamel Nurse Practitioner 18275 Kenrick Avenue, Lakeville, MN 55044 2016-04-28
1003281536 Heather Leann Wegner Counselor 16233 Kenyon Ave, Lakeville, MN 55044 2015-12-09
1982081295 Dana Bungert Specialist/Technologist 11060 Upper 167th St W, Lakeville, MN 55044 2015-05-06
1265834931 Kayla Schulz Counselor 7535 165th St West, Lakeville, MN 55044 2014-09-24
Find all providers in zip 55044

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427672906 Matthew Robert Christiansen Student in an Organized Health Care Education/Training Program 16173 Harvard Ln, Lakeville, MN 55044-6314 2020-06-01
1316574478 Kaitlyn Marshall Student in an Organized Health Care Education/Training Program 16377 Greenbriar Ct, Lakeville, MN 55044-6113 2020-03-26
1023363090 Kristi Michelle O'brien Student in an Organized Health Care Education/Training Program 1 Hazel St, Lakeville, MA 02347-2023 2012-07-17
1598957912 Amelia L Burgess Student in an Organized Health Care Education/Training Program 18432 Kenrick Ave, Lakeville, MN 55044-9288 2007-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154921047 Liesa Clare Erickson Student in an Organized Health Care Education/Training Program 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 2020-10-29
1639779804 Chelsie Meemken Student in an Organized Health Care Education/Training Program 505 Bluebird Ct, Sartell, MN 56377-1633 2020-10-27
1134729486 Anna R Spiczka Student in an Organized Health Care Education/Training Program 10689 108th Ave N, Hanover, MN 55341-4124 2020-10-27
1558961003 Maren Elizabeth Iverson Student in an Organized Health Care Education/Training Program 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 2020-10-26
1275132003 Faizo A Hersi Student in an Organized Health Care Education/Training Program 9700 International Dr Suite 300, Bloomington, MN 55425 2020-10-22
1467059048 Ashli Willow Boehm Student in an Organized Health Care Education/Training Program 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 2020-10-06
1174130421 Carolyne Copley Student in an Organized Health Care Education/Training Program 226 2nd St Sw, Rochester, MN 55905-0001 2020-09-29
1023624483 Katherine Hailey Lake Student in an Organized Health Care Education/Training Program 16415 Temple Dr, Minnetonka, MN 55345-3431 2020-09-21
1235745027 Andrew Ryan Mcnamara Student in an Organized Health Care Education/Training Program 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 2020-09-17
1740895770 Arielle Johnson Student in an Organized Health Care Education/Training Program 1162 Thomas Ave, Saint Paul, MN 55104-2538 2020-09-15
Find all providers with the same taxonomy

Competitor

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City LAKEVILLE
Zip Code 55044

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Dataset Information

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.

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