KIM JACKSON (NPI# 1033143581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033143581 |
| Entity Type | Individual |
| Full Name | KIM JACKSON |
| Practice Address |
1000 Locust St Reno NV 89502-2597 |
| Mailing Address |
172 Country Ranch Rd Fernley NV 89408-8665 |
| Practice Telephone | 7757867200 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN000599 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415464 | Kim B Jackson | Massage Therapist | 29 Glen Cove Ave Ste 212, Glen Cove, NY 11542-2831 | 2020-10-18 |
| 1841706835 | Kim Yvette Jackson | Non-emergency Medical Transport (VAN) | 2101 Hickory Hill Dr, Mansfield, TX 76063-2070 | 2017-12-28 |
| 1801215595 | Kim E Jackson | Marriage & Family Therapist | 1337 Forest Dr, Louisville, KY 40219-1418 | 2014-04-10 |
| 1285944637 | Kim Janice Jackson | Licensed Practical Nurse | 1135 East 82nd Street, Brooklyn, NY 11236 | 2010-10-19 |
| 1861987331 | Kim N Jackson | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2018-06-27 |
| 1285177261 | Kim Jackson | Rehabilitation Practitioner | 201 E 16th Ave, 206, Anchorage, AK 99501-5265 | 2016-11-23 |
| 1902257389 | Kim Jackson | Community Health Worker | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2016-06-27 |
| 1285933176 | Kim Marie Jackson | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2011-03-18 |
| 1003126699 | Kim M Jackson | Social Worker | 3737 Lander Road, Pepper Pike, OH 44124-5712 | 2010-10-15 |
| Street Address |
1000 LOCUST ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903053 | Arthur L Allen | Pharmacist | 1000 Locust St, Pharmacy 119, Reno, NV 89502-2597 | 2005-09-26 |
| 1356952857 | Michelle Monique Reynolds | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2020-08-10 |
| 1316300841 | Lisa Papa | Registered Nurse | 1000 Locust St, Reno, NV 89502-2597 | 2016-04-01 |
| 1407148471 | Sean Edward Walsh | Dietitian, Registered | 1000 Locust St, Reno, NV 89502-2597 | 2011-05-10 |
| 1073804142 | Michelle E Moody | Dietitian, Registered | 1000 Locust St, Reno, NV 89502-2597 | 2011-04-25 |
| 1083903678 | Faisal M. Siddiqui | Internal Medicine | 1000 Locust St, Dept. of Internal Medicine, Reno, NV 89502-2597 | 2011-04-04 |
| 1952690117 | Philip T Phu | Student in an Organized Health Care Education/Training Program | 1000 Locust St, Dept of Internal Medicine, Reno, NV 89502-2597 | 2011-03-28 |
| 1629377288 | Muhammad A. Waqar | Student in an Organized Health Care Education/Training Program | 1000 Locust St, M/s 18, Reno, NV 89502-2597 | 2011-03-22 |
| 1821398637 | Tiffany Johnson | Social Worker | 1000 Locust St, Reno, NV 89502-2597 | 2010-10-26 |
| 1548577547 | Veteran's Hospital Reno Nevada | General Acute Care Hospital | 1000 Locust St, Reno, NV 89502-2597 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556705 | Malina Josephine Ruiz | Nurse Practitioner | 1500 E 2nd St Ste 400p1, Reno, NV 89502-1262 | 2020-10-19 |
| 1902410830 | Christina Ann Krainbrink | Nurse Practitioner | 2094 Long Meadow Dr, Reno, NV 89521-4506 | 2020-09-08 |
| 1598382244 | Kathy Goldsworthy | Nurse Practitioner | 2211 Enterprise Rd, Reno, NV 89521-7438 | 2020-06-29 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1659834091 | Janet Choi | Nurse Practitioner | 6629 S Virginia St, Reno, NV 89511-1168 | 2019-04-11 |
| 1295218691 | Thrive Enterprises LLC | Nurse Practitioner | 7111 S Virginia St Ste A12, Reno, NV 89511-1135 | 2018-09-11 |
| 1932688280 | Gerald Justin Enox | Nurse Practitioner | 370 Bible Camp Rd, Reno, TX 75462 | 2018-08-08 |
| 1750860995 | Darci Page | Nurse Practitioner | 500 Damonte Ranch Pkwy Ste 703, Reno, NV 89521-3911 | 2018-08-08 |
| 1528573227 | Jennifer Ann Woolf | Nurse Practitioner | 8165 Fire Opal Lane, Reno, NV 89506 | 2017-12-05 |
| 1912422957 | Trucare Health Services, LLC | Nurse Practitioner | 9930 Rising Sun Ct, Reno, NV 89506 | 2017-08-10 |
| 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.