MR. ROBERT E JACKSON (NPI# 1972844363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972844363 |
| Entity Type | Individual |
| Full Name | MR. ROBERT E JACKSON |
| Practice Address |
2605 Rainbow Glow St N Las Vegas NV 89030-3709 |
| Practice Telephone | 7024966156 |
| Mailing Telephone | 7024966156 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
2605 RAINBOW GLOW ST |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89030-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223321 | Kushica K Flowers | Rehabilitation Practitioner | 5005 Losee Rd Apt 1108, N Las Vegas, NV 89081-2495 | 2019-12-30 |
| 1619466760 | Kyjana Small | Rehabilitation Practitioner | 5816 Creekside Sands Ln, N Las Vegas, NV 89031-3645 | 2018-05-03 |
| 1558737015 | Nina Davis | Rehabilitation Practitioner | 6023 Glitter Gold Ct, N Las Vegas, NV 89031-7212 | 2015-08-18 |
| 1205218674 | Markesha Nix-powell | Rehabilitation Practitioner | 2444 Englestad St, N Las Vegas, NV 89030-3816 | 2015-06-22 |
| 1992184725 | Christine Briley | Rehabilitation Practitioner | 5239 English Aster Ct, N Las Vegas, NV 89081-4004 | 2015-05-26 |
| 1972906451 | Genevieve Batiste | Rehabilitation Practitioner | 4538 W Craig Rd Ste 250, N Las Vegas, NV 89032-2510 | 2014-09-29 |
| 1184047979 | Beverly Magot Harrison | Rehabilitation Practitioner | 416 W Azure Ave, N Las Vegas, NV 89031-1368 | 2014-01-29 |
| 1770904104 | Mayra Ornelas | Rehabilitation Practitioner | 3145 Manti Peak Ave, N Las Vegas, NV 89081-6550 | 2014-01-03 |
| 1588090666 | Sara Johnson | Rehabilitation Practitioner | 1627 Bent Arrow Dr, N Las Vegas, NV 89031-1559 | 2013-09-19 |
| 1609215524 | Charlette Smith | Rehabilitation Practitioner | 2724 Advancement Ave, N Las Vegas, NV 89031-0953 | 2013-06-25 |
| Find all providers in N LAS VEGAS | ||||
| City | N LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on MR. ROBERT E 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.