STUART JACKSON (NPI# 1083064851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083064851 |
| Entity Type | Individual |
| Full Name | STUART JACKSON |
| Credential | LAT |
| Practice Address |
2806 Woodlawn St Dickinson TX 77539-4668 |
| Practice Telephone | 2817023285 |
| Mailing Telephone | 2817023285 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT4250 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942710629 | Stuart Jackson | Counselor | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2017-10-06 |
| 1013939453 | Stuart Mark Jackson | Social Worker | 5331 Sw Macadam Ave, Suite 363, Portland, OR 97239-6104 | 2006-07-24 |
| Street Address |
2806 WOODLAWN ST |
| City | DICKINSON |
| State | TX |
| Zip Code | 77539-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940351 | Sushkap Dental Pllc | Dentist | 3448 Gulf Fwy., Dickinson, TX 77539 | 2020-04-09 |
| 1912567108 | Doves Home Care Agency, LLC | Home Health | 1124 Oak Hollow Dr, Dickinson, TX 77539 | 2019-06-19 |
| 1245718469 | Divine Csrd, LLC | Occupational Therapist | 608 Farm To Market Road 517 West, Dickinson, TX 77539 | 2018-07-31 |
| 1912491515 | Montoya Wilturner | Behavior Technician | 3001 Avenue B, Dickinson, TX 77539 | 2018-06-18 |
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1720504111 | Southwest Wellness Solutions | Physical Therapist | 608 Fm 517 Rd W, Dickinson, TX 77539 | 2017-08-17 |
| 1578013025 | Joie Hawkins Brownlee | Registered Nurse | 1804 Fm 646 Rd W Ste J, Dickinson, TX 77539 | 2016-10-08 |
| 1942668058 | Kelly Engle | Registered Nurse | 3828 Hughes Ct #104, Utmb Rmchp, Dickinson, TX 77539 | 2016-02-03 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1144639311 | Jennifer Lee Warwick | Physician Assistant | 680 Fm 517 Road West, Dickinson, TX 77539 | 2014-08-12 |
| Find all providers in zip 77539 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295209716 | Ashlyn Dawn Kessel | Specialist/Technologist | 917 Baker Ave, Dickinson, ND 58601-4220 | 2019-01-17 |
| 1518225283 | Alyssa Miller | Specialist/Technologist | 1531 W Villard St, Dickinson, ND 58601-4651 | 2012-05-01 |
| 1003052481 | Jonathan Ray Mayes | Specialist/Technologist | 6517 Canyon Mist Ln, Dickinson, TX 77539-4882 | 2009-01-06 |
| 1215550249 | Timothy Kreidt | Specialist/Technologist | 291 Campus Dr, Dickinson, ND 58601-4853 | 2020-05-26 |
| 1487136545 | Yazmin Lara | Specialist/Technologist | 3800 Baker Dr, Dickinson, TX 77539-5916 | 2018-09-05 |
| 1780194688 | Tori K Nelson | Specialist/Technologist | 1679 6th Ave W, Dickinson, ND 58601 | 2017-10-05 |
| 1548702632 | Colin Hulm | Specialist/Technologist | 2615 Fairway St, Dickinson, ND 58601-2590 | 2016-11-07 |
| 1427345941 | Ann Wittkopp | Specialist/Technologist | 291 Campus Dr, Dickinson, ND 58601-4896 | 2011-07-05 |
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|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.