ASHLEY JACKSON (NPI# 1942753652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942753652 |
| Entity Type | Individual |
| Full Name | ASHLEY JACKSON |
| Credential | LMP |
| Practice Address |
1101 Tacoma Ave Sunnyside WA 98944-2264 |
| Practice Telephone | 5098395656 |
| Practice Fax Number | 5098395682 |
| Mailing Telephone | 5098395656 |
| Mailing Fax Number | 5098395682 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60677931 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629466313 | Ashley Jackson | Marriage & Family Therapist | 3785 Town Square Cir Nw, Kennesaw, GA 30144-2377 | 2015-01-02 |
| 1649542911 | Ashley Jackson | Social Worker | 34 Halborn St, Boston, MA 02126-2313 | 2012-02-02 |
| 1245381318 | Ashley Jackson | Marriage & Family Therapist | 1001 Needham St, Modesto, CA 95354-0730 | 2007-01-16 |
| 1770596744 | Ashley R Jackson | Dentist | 123 W Grove St, El Dorado, AR 71730-4608 | 2006-08-14 |
| 1255939062 | Ashley Jackson | Technician | 1 Avenue C Ste 102, Madison, WV 25130-1100 | 2020-10-14 |
| 1326656612 | Ashley Marie Jackson | Nurse Practitioner | 1601 Center St, Mobile, AL 36604-1541 | 2020-07-22 |
| 1093357097 | Ashley Jackson | Case Manager/Care Coordinator | 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 | 2019-10-10 |
| 1740838523 | Ashley Denae Jackson | Pharmacist | 169 W Lancaster Ave, Ardmore, PA 19003-1401 | 2019-08-26 |
| 1215583745 | Ashley Jackson | Home Health | 1409 Washington Ave Ste 207, Saint Louis, MO 63103-1936 | 2019-08-12 |
| 1932752102 | Ashley D Jackson | Nurse Practitioner | 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526 | 2019-07-17 |
| Street Address |
1101 TACOMA AVE |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376676361 | Troy Edward Fodor | Chiropractor | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2007-03-13 |
| 1922574730 | Silvia P Dearte | Massage Therapist | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2018-10-18 |
| 1326586017 | George A Tree | Chiropractor | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2017-02-02 |
| 1720386048 | Thornock Chiropractic, Pllc | Chiropractor | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2011-03-10 |
| 1124270822 | Fodor Chiropractic P.s. | Chiropractor | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2008-10-14 |
| 1013199496 | Troy E. Fodor, Dc | Chiropractor | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2007-11-28 |
| 1861672982 | Chad Michael Thornock | Chiropractor | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194286740 | Genesis Yaninellha Dearte | Massage Therapist | 2935 Covey Lane, Sunnyside, WA 98944-8941 | 2019-03-27 |
| 1063997120 | Natalie Susanne Wutzke | Massage Therapist | 7545 Van Belle Rd, Sunnyside, WA 98944-9697 | 2018-09-25 |
| 1558775114 | Eva Pendleton | Massage Therapist | 4526 44th St Apt 5f, Sunnyside, NY 11104-2417 | 2014-06-11 |
| 1124443932 | Alexandra Fischer | Massage Therapist | 4141 46th St, Apt. 3-o, Sunnyside, NY 11104-1869 | 2014-03-03 |
| 1629338934 | Cassie L Groves | Massage Therapist | 1101 Tacoma Ave., Sunnyside, WA 98944-2264 | 2012-05-21 |
| 1295907509 | Marty Mathison Lmp | Massage Therapist | 711 Lincoln Ave, Sunnyside, WA 98944 | 2008-03-26 |
| 1871691261 | Kimberly Christian Evans | Massage Therapist | 1120 So 4th St, Sunnyside, WA 98944-1120 | 2006-09-20 |
| 1922574730 | Silvia P Dearte | Massage Therapist | 1101 Tacoma Ave, Sunnyside, WA 98944-2264 | 2018-10-18 |
| 1427499987 | Amy Patricia Sprague | Massage Therapist | 823 E Lincoln Ave, Sunnyside, WA 98944-2347 | 2013-07-12 |
| 1508018987 | Noemi Castaneda | Massage Therapist | 841 E Lincoln Ave, Sunnyside, WA 98944-2347 | 2008-10-16 |
| Find all providers in SUNNYSIDE | ||||
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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.