DR. JASMINE JACKSON (NPI# 1952576753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952576753 |
| Entity Type | Individual |
| Full Name | DR. JASMINE JACKSON |
| Credential | D.C. |
| Practice Address |
1105 N Dutton Ave Suite D Santa Rosa CA 95401-4682 |
| Mailing Address |
1105 N Dutton Ave Ste. D Santa Rosa CA 95401-4682 |
| Practice Telephone | 7075445338 |
| Mailing Telephone | 7075445338 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2016-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC30856 | CA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC-30856 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613571 | Jasmine E Jackson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3165 Overton Crossing St, Memphis, TN 38127-6522 | 2020-06-09 |
| 1902220569 | Jasmine Jackson | Counselor | 901 Us Highway 68 Ste 900, Maysville, KY 41056-9190 | 2014-02-18 |
| 1922358738 | Jasmine L Jackson | Rehabilitation Practitioner | 1385 European Dr, Henderson, NV 89052-4021 | 2012-09-19 |
| 1912133398 | Jasmine Nicole Jackson | Licensed Practical Nurse | 1730 Kensington Dr, Dayton, OH 45406-3912 | 2009-05-30 |
| 1578112496 | Jasmine Shanae Jackson | Nurse Practitioner | 3400 S Crater Rd Ste B, Petersburg, VA 23805 | 2019-09-04 |
| 1376019414 | Jasmine Deloris Jackson | Counselor | 1902 2nd Ave, Seattle, WA 98101-1155 | 2018-10-16 |
| 1902399785 | Jasmine Keara Jackson | Counselor | 2800 Youree Dr Ste 482, Shreveport, LA 71104-3666 | 2018-06-07 |
| 1154869048 | Jasmine Gabrielle Jackson | Physical Therapist | 4321 Hartwick Rd Ste 101, College Park, MD 20740-3201 | 2017-02-10 |
| 1912443367 | Jasmine Marie Jackson | Case Manager/Care Coordinator | 601 W 26th St Rm 522, New York, NY 10001-1137 | 2017-01-10 |
| 1336500255 | Jasmine Jackson | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2016-03-20 |
| Street Address |
1105 N DUTTON AVE SUITE D |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014431 | Caleb Daniel Ridgway | Chiropractor | 1105 N Dutton Ave, Suite D, Santa Rosa, CA 95401-4682 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699136408 | Ridgway Chiropractic Inc | Chiropractor | 1105 N Dutton Ave Ste D, Santa Rosa, CA 95401-4683 | 2016-03-08 |
| 1154567659 | Lucas C Mccully | Chiropractor | 4655 Hoen Ave Ste 8, Santa Rosa, CA 95405-7830 | 2009-01-05 |
| 1740455492 | Marjan Kaveh | Chiropractor | 95 Montgomery Dr Ste 202, Santa Rosa, CA 95404-3202 | 2008-04-24 |
| 1205008737 | Helen Mary Thomas | Chiropractor | 2200 County Center Dr Ste B, Santa Rosa, CA 95403 | 2008-03-25 |
| 1548459324 | Donald James Wright | Chiropractor | 349 College Ave, Santa Rosa, CA 95401-5117 | 2007-10-17 |
| 1720276645 | Thomas Collins | Chiropractor | 1212 Farmers Ln Ste 2, Santa Rosa, CA 95405-6747 | 2007-10-04 |
| 1588858427 | David Edqard Miller | Chiropractor | 1725 King St, Santa Rosa, CA 95404-2916 | 2007-09-04 |
| 1982897377 | Michael Gene Ridgeway | Chiropractor | 777 Farmers Ln, Santa Rosa, CA 95405-6701 | 2007-08-20 |
| 1912104795 | Craig S Hartman | Chiropractor | 3861 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2007-06-27 |
| 1356546519 | Denise Ellen Prue | Chiropractor | 3616 Greenleaf Drive, Santa Rosa, CA 95401 | 2007-06-18 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on DR. JASMINE 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.