SUSAN ELIZABETH JACKSON (NPI# 1962877431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962877431 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH JACKSON |
| Credential | NP |
| Practice Address |
1365 Beverly Rd 2nd Floor Mc Lean VA 22101-3624 |
| Mailing Address |
5825 Ridings Manor Pl Centreville VA 20120-4914 |
| Practice Telephone | 7037905850 |
| Mailing Telephone | 7033071810 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172843 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316003 | Susan Jackson | Pharmacist | 1022 Sealyham Ct, Reynoldsburg, OH 43068-4763 | 2019-03-21 |
| 1831624113 | Susan Jackson | Speech-Language Pathologist | 616 W Virginia Ave, Sebring, OH 44672-1142 | 2017-04-25 |
| 1487064986 | Susan Jackson | Social Worker | 425 W 48th St, 4k, New York, NY 10036 | 2014-05-06 |
| 1538476601 | Susan Jackson | Pharmacist | 5540 S 900 E, Salt Lake City, UT 84117-7206 | 2010-09-09 |
| 1609042639 | Susan Jackson | Physical Therapist | 3275 Soft Breeze Cir, West Melbourne, FL 32904-7710 | 2008-04-30 |
| 1073781613 | Susan Jean Jackson | Physical Therapist | 901 W 9th St Apt 414, Austin, TX 78703-4629 | 2008-02-18 |
| 1699951368 | Susan Elizabeth Jackson | Nurse Practitioner | 20 Mair Ave, Totowa, NJ 07512-2313 | 2008-01-12 |
| 1780749671 | Susan Marie Jackson | Family Medicine | 25066 Sr 11, Hallstead, PA 18822 | 2006-12-22 |
| 1871048520 | Susan Marie Jackson | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2016-08-23 |
| 1760835300 | Susan H Jackson | Marriage & Family Therapist | 8350 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730-7701 | 2016-07-19 |
| Street Address |
1365 BEVERLY RD 2ND FLOOR |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376836668 | Ali A Damavandy | Dermatology | 1365 Beverly Rd, 2nd Floor, Mc Lean, VA 22101-3624 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838705 | Julia Elaine Solis-mesch | Nurse Practitioner | 6858 Old Dominion Dr Ste 201, Mc Lean, VA 22101-3899 | 2019-09-03 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1437114683 | Susan K Slye | Nurse Practitioner | 1680 Capital One Dr, Mc Lean, VA 22102-3406 | 2006-04-19 |
| 1215579016 | Laura Bucher | Nurse Practitioner | 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3039 | 2019-10-13 |
| 1528530342 | Crystal Ann Lee | Nurse Practitioner | 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102-3006 | 2018-12-18 |
| 1891235842 | Rahel Mebrahtu | Nurse Practitioner | 1452 Chain Bridge Rd, Mc Lean, VA 22101-3706 | 2017-02-24 |
| 1184177487 | Sarah Aimee Walker | Nurse Practitioner | 6849 Old Dominion Dr Ste 340, Mc Lean, VA 22101-3791 | 2016-08-03 |
| 1053754754 | Cynthia Ann Leaver | Nurse Practitioner | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2013-04-11 |
| 1093051237 | Aeden Ghebreselassie | Nurse Practitioner | 1680 Capital One Dr, Mc Lean, VA 22102-3407 | 2012-12-17 |
| 1174825046 | Lynda Gibbs | Nurse Practitioner | 6707 Old Dominion Dr, Suite 300, Mc Lean, VA 22101-4504 | 2010-11-29 |
| Find all providers in MC LEAN | ||||
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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.