MRS. TIFFANY R JACKSON (NPI# 1093066086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093066086 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY R JACKSON |
| Other Name | TIFFANY SPARKS |
| Credential | NP |
| Practice Address |
1108 W State St Suite 3 Hastings MI 49058-9711 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2699450922 |
| Practice Fax Number | 2699454511 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704240163 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1336781335 | Tiffany Lashun Jackson | Contractor | 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558 | 2019-10-10 |
| 1073161642 | Tiffany Michelle Jackson | Registered Nurse | 4982 Peppers Ferry Rd, Wytheville, VA 24382-4966 | 2019-08-27 |
| 1245892694 | Tiffany Nicole Jackson | Counselor | 6292 Dyke Rd, Chittenango, NY 13037-9404 | 2019-07-06 |
| 1851875116 | Tiffany Andrea Jackson | Case Manager/Care Coordinator | 1095 Golden Lakes Blvd Apt 913, West Palm Beach, FL 33411-3353 | 2018-09-21 |
| 1992046734 | Tiffany Jackson | Licensed Practical Nurse | 4746 Walford Rd Apt 2, Warrensville Heights, OH 44128-5151 | 2013-03-04 |
| 1871801399 | Tiffany Jan'nelle Jackson | Dentist | 2550 Windmill Ln Ste 145, Henderson, NV 89074-5500 | 2010-09-17 |
| 1619289212 | Tiffany C. Jackson | Massage Therapist | 904 S Main St, Pleasant Grove, UT 84062-3560 | 2010-07-12 |
| 1851613251 | Tiffany Renee Jackson | Contractor | 5533 Litchfield St, Philadelphia, PA 19143-4714 | 2010-02-25 |
| 1942491063 | Tiffany R Jackson | Obstetrics & Gynecology | 7217 Telecom Parkway, Suite 290, Garland, TX 75044 | 2007-08-05 |
| Street Address |
1108 W STATE ST SUITE 3 |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709562 | Scott B Brasseur | Internal Medicine | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2005-06-10 |
| 1780104182 | Renee Birchmeier | Nurse Practitioner | 1108 W State St, Hastings, MI 49058-9711 | 2017-06-27 |
| 1023557634 | Alia Anthony | Nurse Practitioner | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2017-02-15 |
| 1396190138 | Pennock Hospital | Clinic/Center | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2016-04-29 |
| 1508225632 | Pennock Hospital Board of Trustees | Family Medicine | 1108 W State St, Hastings, MI 49058-9711 | 2016-02-17 |
| 1932490885 | Pennock State Street Center | Nurse Practitioner | 1108 W State St, Hastings, MI 49058-9711 | 2011-04-27 |
| 1659526481 | Womens Health First PC | Obstetrics & Gynecology | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2008-11-20 |
| 1649299223 | Laura J Kota | Obstetrics & Gynecology | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2006-07-18 |
| 1346284759 | Robert A Valice | Obstetrics & Gynecology | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2006-06-15 |
| 1275589913 | Leon Vanderlaan | Physician Assistant | 1108 W State St, Hastings, MI 49058-9711 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992253058 | Hajnalka Draper | Nurse Practitioner | 1411 Vermillion St, Hastings, MN 55033-2844 | 2016-09-19 |
| 1427047299 | Julia M Pavelka | Nurse Practitioner | 2727 W 2nd St, Suite 340, Hastings, NE 68901-4684 | 2005-10-14 |
| 1598766677 | Kristen M Gilleo | Nurse Practitioner | 1880 N Frontage Rd, Hastings, MN 55033-2687 | 2005-08-10 |
| 1508321456 | Lyndi Jo Henry | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-05 |
| 1639648355 | Shana Schneider | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2018-11-26 |
| 1578066163 | Antwain Allen | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2018-03-09 |
| 1215440516 | Stephanie May | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2017-11-08 |
| 1780104182 | Renee Birchmeier | Nurse Practitioner | 1108 W State St, Hastings, MI 49058-9711 | 2017-06-27 |
| 1023557634 | Alia Anthony | Nurse Practitioner | 1108 W State St, Suite 3, Hastings, MI 49058-9711 | 2017-02-15 |
| 1629450051 | Danielle Malchow | Nurse Practitioner | 223 E 14th St, Suite 100, Hastings, NE 68901-3200 | 2015-06-22 |
| Find all providers in HASTINGS | ||||
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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.