KEITH DARNELL JACKSON (NPI# 1033461280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033461280 |
| Entity Type | Individual |
| Full Name | KEITH DARNELL JACKSON |
| Practice Address |
7550 Constantinople Ave Las Vegas NV 89129-6505 |
| Mailing Address |
4790 Pencarrow Ct Las Vegas NV 89130-2372 |
| Practice Telephone | 7023494042 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407491673 | Keith Jackson | Home Health | 2934 Pelzer Ave, Montgomery, AL 36109-2147 | 2019-11-12 |
| 1871935569 | Keith Daniel Jackson | Dentist | 10868 Us Highway 15 501, Southern Pines, NC 28387-5149 | 2013-07-23 |
| 1720263031 | Keith Edward Jackson | Nurse Practitioner | 11114 Endicott Ln, Houston, TX 77035-3007 | 2008-01-04 |
| 1205866142 | Keith E Jackson | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 | 2006-07-04 |
| 1225016454 | Keith Jackson | Otolaryngology | 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230 | 2006-01-06 |
| 1184278129 | Keith T. Jackson | Physical Therapist | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2019-07-29 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1457837551 | Keith Jackson | Case Manager/Care Coordinator | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2018-07-12 |
| 1952890030 | Keith Wesley Jackson | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-05-04 |
| 1033557228 | Keith L Jackson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2013-06-10 |
| Street Address |
7550 CONSTANTINOPLE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89129-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972855591 | Latoyshia Parson-bass | Behavioral Analyst | 7550 Constantinople Ave, Las Vegas, NV 89129-6505 | 2012-10-05 |
| 1891047239 | Adrienne D Wright-mccoy | Behavioral Analyst | 7550 Constantinople Ave, Las Vegas, NV 89129-6505 | 2012-10-09 |
| 1164774501 | Dewayne Mccoy | Behavioral Analyst | 7550 Constantinople Ave, Las Vegas, NV 89129-6505 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
| 1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
| 1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
| 1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
| 1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
| 1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| Find all providers in zip 89129 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839216 | Arisha Miller | Social Worker | 3433 Algiers Dr Apt 1189, Las Vegas, NV 89115-2848 | 2020-10-21 |
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1740898493 | Donna Lynn Green | Social Worker | 10000 S Maryland Pkwy Apt 2098, Las Vegas, NV 89183-6392 | 2020-07-20 |
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1255958799 | Joseph Patrick Minnick Jr. | Social Worker | 1320 Red Gable Ln Unit 102, Las Vegas, NV 89144-7012 | 2020-07-01 |
| 1679196414 | Electronic Tax Center | Social Worker | 3450 Tanto Cir, Las Vegas, NV 89121-5047 | 2020-05-27 |
| 1750917548 | Derick Lewis Butler | Social Worker | 6236 Eugene Ave, Las Vegas, NV 89108-3311 | 2020-03-12 |
| 1629601026 | Mended | Social Worker | 6797 Conquistador St, Las Vegas, NV 89149-1315 | 2020-02-14 |
| 1518504745 | Maria Ann Speed | Social Worker | 6160 Rumrill St Unit 218, Las Vegas, NV 89113-7108 | 2019-12-06 |
| 1730734732 | Apollonia Sade Allen | Social Worker | 8610 S Maryland Pkwy Apt 1067, Las Vegas, NV 89123-2725 | 2019-08-06 |
| Find all providers in LAS VEGAS | ||||
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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.