CAROLE ANNE JACKSON (NPI# 1023359361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023359361 |
| Entity Type | Individual |
| Full Name | CAROLE ANNE JACKSON |
| Practice Address |
1200 Helen Ave N Las Vegas NV 89030-3721 |
| Mailing Address |
345 Plum Horse Ave N Las Vegas NV 89031-1317 |
| Practice Telephone | 7022759838 |
| Mailing Telephone | 7022056717 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427020882 | Carole Lynn Jackson | Obstetrics & Gynecology | 525 Western Avenue, Suite 303, Conway, AR 72034-6135 | 2006-02-01 |
| 1053546184 | Carole Ina Jackson | Counselor | 1337 Gusdorf Road, Suite E, Taos, NM 87571 | 2009-05-19 |
| Street Address |
1200 HELEN AVE |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89030-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073952370 | Patrick A Oakley | Behavioral Analyst | 1200 Helen Ave, N Las Vegas, NV 89030-3721 | 2013-06-19 |
| 1528405958 | Frankie Mae Lewis | Behavioral Analyst | 1200 Helen Ave, N Las Vegas, NV 89030-3721 | 2013-05-24 |
| 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 | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610907 | Glynnese Coleman | Psychologist | 6966 Jacksboro Ct, N Las Vegas, NV 89084-2087 | 2012-08-30 |
| 1285972034 | Denicia Powell | Psychologist | 3925 N Mlk Blvd Ste 212, N Las Vegas, NV 89032-7676 | 2013-01-29 |
| 1407116866 | Inspired Hope Mental Health Services, LLC | Psychologist | 4005 Pepper Thorn Ave, 201, N Las Vegas, NV 89081-3818 | 2012-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577624 | Caitlyn Triplett | Psychologist | 896 Glen Molly Dr, Sparks, NV 89434-3467 | 2020-10-28 |
| 1174082127 | Jocelyn Garcia | Psychologist | 7014 Voyage Dr, Sparks, NV 89436-5429 | 2019-03-19 |
| 1184183758 | Keith J Davis | Psychologist | 8113 Crimson Creek Ct, Las Vegas, NV 89139-6909 | 2019-03-13 |
| 1972072635 | Sabrina Estel Jones | Psychologist | 3825 Craig Crossing Dr Apt 3043, North Las Vegas, NV 89032-1267 | 2018-11-24 |
| 1063981926 | Dawn Marie Cheeseman | Psychologist | 1597 Ridgegate Cir, Reno, NV 89523-1220 | 2018-11-20 |
| 1902312184 | Rena Smith | Psychologist | 1344 N Jones Blvd, Las Vegas, NV 89108-1612 | 2017-12-24 |
| 1023533577 | Debra Denise Dear | Psychologist | 6347 W Eldorado Ln, Las Vegas, NV 89139-5316 | 2017-08-06 |
| 1205350006 | Omonigho Edith Usigbe | Psychologist | 2270 Losee Rd Suite B, Suite B, North Las Vegas, NV 89030 | 2017-08-02 |
| 1407380850 | Karen Petty | Psychologist | 6628 Beacon Rd, Las Vegas, NV 89108-5390 | 2017-04-12 |
| 1730610890 | Cassandra Virgil | Psychologist | 4176 Mississippi Ave, Las Vegas, NV 89103-2799 | 2017-03-21 |
| Find all providers with the same taxonomy | ||||
| City | N LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on CAROLE ANNE 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.