ANGELA JACKSON (NPI# 1013468248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013468248 |
| Entity Type | Individual |
| Full Name | ANGELA JACKSON |
| Practice Address |
110 E St Pittsfield ME 04967-5106 |
| Mailing Address |
110 E St Pittsfield ME 04967 |
| Practice Telephone | 2073554026 |
| Mailing Telephone | 2073554026 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1666300 | ME | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1104431790 | Angela P Jackson | Technician | 5528 Meadow Passage Dr, Canal Winchester, OH 43110-8397 | 2020-09-10 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1215329032 | Angela Yvette Jackson | Psychologist | 185 N Pearl Lake Cswy, #106, Altamonte Springs, FL 32714-2956 | 2015-03-03 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| 1952695652 | Angela Michelle Jackson | Counselor | 2501 Hunters Hill Dr, Apt. 721, Enid, OK 73703-2311 | 2011-05-31 |
| Street Address |
110 E ST |
| City | PITTSFIELD |
| State | ME |
| Zip Code | 04967-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369667 | Cross Roads Case Management LLC | Case Management | 442 Main Street, Pittsfield, ME 04967 | 2018-09-07 |
| 1740493527 | Msad #53 | Local Education Agency (LEA) | 167 School Street, Suite A, Pittsfield, ME 04967 | 2007-05-08 |
| 1164580957 | Ciro Thomas Olivares | Social Worker | 12 Waverly Avenue, Pittsfield, ME 04967 | 2006-12-05 |
| 1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
| 1164525739 | Susan C Mcewen | Social Worker | 20 Waverly Ave, Pittsfield, ME 04967 | 2006-09-07 |
| 1467432955 | Robert John Schlager | Family Medicine | 447 N. Main Street, Pittsfield, ME 04967 | 2006-01-19 |
| 1407840309 | Flint C Reid | Optometrist | 453 Main Street, Pittsfield, ME 04967 | 2005-09-07 |
| 1699771980 | Sebasticook Valley Home Care | Home Health | 49 Main Street, Pittsfield, ME 04967 | 2005-06-22 |
| 1730593781 | Jeremy West | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2014-06-18 |
| 1598998916 | West Chiropractic LLC | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2009-09-02 |
| Find all providers in zip 04967 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821435066 | Sopheap Nhim | Specialist | 28 National St, Pittsfield, MA 01201 | 2013-05-29 |
| 1194090522 | Pain Medicine & Rehabilitation Associates, P.C. | Specialist | 294 1st St, Pittsfield, MA 01201-4751 | 2012-03-19 |
| 1164713087 | Lana P Stevens | Specialist | 406 W Housatonic St, Pittsfield, MA 01201-6647 | 2011-04-26 |
| 1205899945 | John R Kearns | Specialist | 56 Charles St, Pittsfield, MA 01201-3302 | 2006-04-11 |
| 1265401822 | Stephen R St Clair | Specialist | 41 Wahconah St, Pittsfield, MA 01201-2627 | 2006-03-16 |
| 1992775035 | Daniel S Kusick | Specialist | 188 East St, Suite 102, Pittsfield, MA 01201-4102 | 2006-01-23 |
| 1194705459 | Pittsfield Cardiology, PC | Specialist | 188 East Street Suite 102, Pittsfield, MA 01201-4102 | 2006-01-20 |
| 1962486886 | Lisa Das | Specialist | 631b North St, Gastroenterology of The Berkshires, Pittsfield, MA 01201-4102 | 2005-12-05 |
| 1396747556 | Marcin Marek Zygawski | Specialist | 740 Williams St, Suite #3, Pittsfield, MA 01201-7463 | 2005-06-01 |
| 1851601231 | Behzad Parhizgar Md | Specialist | 195 South St, Pittsfield, MA 01201-6831 | 2010-10-19 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 04967 |
Please comment or provide details below to improve the information on ANGELA 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.