MS. ANITA JUNE JACKSON


Address: 680 S 4th St, Louisville, KY 40202-2407
Phone: 8009967566

MS. ANITA JUNE JACKSON (NPI# 1992125199) 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) 1992125199
Entity Type Individual
Full Name MS. ANITA JUNE JACKSON
Practice Address 680 S 4th St
Louisville
KY 40202-2407
Mailing Address 5806 Meadow Brook Ct
Saint Joseph
MO 64503-2302
Practice Telephone 8009967566
Mailing Telephone 8167526556
Enumeration Date 2014-04-26
Last Update Date 2014-04-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WR0400X Registered Nurse
Specialization: Rehabilitation
2014008537 MO Nursing Service Providers

Other Providers ANITA JACKSON

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1861059487 Anita Rikki Jackson Behavioral Analyst 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 2019-05-20
1134699481 Anita Dionne Jackson In Home Supportive Care 29 Baltimore Ln, Palm Coast, FL 32137-8851 2018-11-29
1699273789 Anita Ann Jackson Registered Nurse 2853 Webb Ave Bronx Ny 10468, Bronx, NY 10468-2154 2018-01-24
1497285209 Anita Johnson Jackson Case Manager/Care Coordinator 3204 N Ridge Rd, Tallahassee, FL 32305 2017-06-14
1548594831 Anita K. Jackson Chiropractor 2505 Troy Pike, Versailles, KY 40383-9646 2009-09-21
1346286010 Anita Louise Jackson Otolaryngology 4315 Ludgate St, Lumberton, NC 28358-2460 2006-06-21
1851785620 Anita Denise Jackson Social Worker 9315 Telegraph Rd, Redford, MI 48239-1260 2015-03-19
1366637993 Anita Irene Jackson Social Worker 2311 Loveridge Rd, Pittsburg, CA 94565-5117 2007-09-06
1679620652 Anita P Jackson Counselor 573 Brookover Ave, Zanesville, OH 43701-2101 2007-01-04
1063519486 Anita Cal Jackson Family Medicine 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 2006-09-20

Office Location

Street Address 680 S 4TH ST
City LOUISVILLE
State KY
Zip Code 40202-2407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417997651 Lori R Ross Physical Therapist 680 S 4th St, Louisville, KY 40202-2407 2006-06-07
1851912893 Elise Meyer Ball Dietitian, Registered 680 S 4th St, Louisville, KY 40202-2407 2020-04-30
1780217273 Healthstat Onsite Clinic Kindred Preventive Medicine 680 S 4th St, Louisville, KY 40202-2407 2020-02-13
1982188595 Paige Huber Occupational Therapist 680 S 4th St, Louisville, KY 40202-2407 2018-09-19
1407337207 Patricia Houlden Occupational Therapist 680 S 4th St, Louisville, KY 40202-2407 2018-08-28
1720594609 Patricia Bauer Occupational Therapist 680 S 4th St, Louisville, KY 40202-2407 2017-12-14
1790299766 Remsing Kimbell Physical Therapist 680 S 4th St, Louisville, KY 40202-2407 2017-11-28
1356886436 Daylen Davis Physical Therapy Assistant 680 S 4th St, Louisville, KY 40202-2407 2016-12-28
1396110755 Samuel Fishleder Speech-Language Pathologist 680 S 4th St, Louisville, KY 40202-2407 2015-12-09
1235503921 Catherine Marie Strange Occupational Therapist 680 S 4th St, Louisville, KY 40202-2407 2015-11-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
Find all providers in zip 40202

Taxonomy Information

Taxonomy Code 163WR0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Competitor

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City LOUISVILLE
Zip Code 40202

Improve Information

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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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