DR. STEPHANIE COLLEEN JACKSON (NPI# 1013177872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013177872 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE COLLEEN JACKSON |
| Other Name | DR. STEPHANIE COLLEEN SMITH |
| Credential | M.D. |
| Practice Address |
1950 Hope Valley Dr Reno NV 89521-3140 |
| Practice Telephone | 9014282046 |
| Practice Fax Number | 7754032175 |
| Mailing Telephone | 9014282046 |
| Mailing Fax Number | 7754032175 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
14922 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DEA | FS4122191 | 01 |
| NV | MEDICAL LICENSE | 14922 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
| 1427538016 | Stephanie Renee Jackson | Occupational Therapist | 626 Colosseo Way, San Antonio, TX 78253-5687 | 2018-08-14 |
| 1376955294 | Stephanie Jackson | Behavioral Analyst | 6131 Alpine Tree Ave, Las Vegas, NV 89139-6854 | 2014-05-27 |
| 1548601511 | Stephanie Jackson | Licensed Practical Nurse | 39 W. Yaphank Rd., Medford, NY 11763 | 2013-07-08 |
| 1134461361 | Stephanie K Jackson | Specialist | 1513 Sleepy Hollow Rd Unit A, Wenatchee, WA 98801-9132 | 2013-03-26 |
| 1073890828 | Stephanie Jackson | Massage Therapist | 3172 S Gilpin St, Englewood, CO 80113-3023 | 2011-11-08 |
| 1255512984 | Stephanie Brazeal Jackson | Nurse Practitioner | 711 Trestle Rd, Locust Grove, GA 30248-3465 | 2007-11-21 |
| 1992904155 | Stephanie Lynn Jackson | Dentist | 13521 Steelecroft Pkwy, Suite 100, Charlotte, NC 28278-7545 | 2007-07-17 |
| 1205045796 | Stephanie Andreya Jackson | Dental Hygienist | 801 Crestview Ave, Provo, UT 84604-4777 | 2007-05-21 |
| Street Address |
1950 HOPE VALLEY DR |
| City | RENO |
| State | NV |
| Zip Code | 89521-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962701219 | Byung Chan Thomas Ahn | Psychiatry & Neurology | 135 N Sierra St # 40595, Reno, NV 89501-1344 | 2011-03-24 |
| 1467507384 | Charles E Quaglieri | Psychiatry & Neurology | 330 E Liberty St, Suite 200, Reno, NV 89501-2260 | 2007-01-23 |
| 1902975923 | Steven E Rubin | Psychiatry & Neurology | 6119 Ridgeview Ct Ste 300, Reno, NV 89519-6328 | 2006-11-06 |
| 1407805401 | Timothy Jay Louie | Psychiatry & Neurology | 645 N Arlington Ave Ste 655, Reno, NV 89503-4444 | 2006-05-08 |
| 1578117362 | Culpepper Psychiatric Associates Pllc | Psychiatry & Neurology | 6940 Sierra Center Pkwy, Reno, NV 89511-2209 | 2019-07-30 |
| 1851952543 | Sameera Siddiqui | Psychiatry & Neurology | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-06-24 |
| 1154717130 | Kevin Robert Chysna | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2015-04-07 |
| 1295154219 | Burton Jared Tabaac | Psychiatry & Neurology | 1155 Mill St, Reno, NV 89502-1576 | 2014-04-08 |
| 1972921591 | Lee Gerwitz | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2014-04-01 |
| 1659715001 | Jeffrey Brent Peel | Psychiatry & Neurology | 1155 Mill St, Reno, NV 89502 | 2013-04-28 |
| Find all providers in RENO | ||||
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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.