CAMILLE JACKSON (NPI# 1093171159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093171159 |
| Entity Type | Individual |
| Full Name | CAMILLE JACKSON |
| Practice Address |
7000 Austin St Suite200 Forest Hills NY 11375-1022 |
| Practice Telephone | 7187627633 |
| Mailing Telephone | 7187627633 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 859763 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
| 1902252950 | Camille Jackson | Occupational Therapy Assistant | 5199 W Oak Grove Ln, Highland, UT 84003-9469 | 2016-05-09 |
| 1134574528 | Camille Jackson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Department of Surgery, Oakland, CA 94602-1018 | 2016-05-04 |
| Street Address |
7000 AUSTIN ST SUITE200 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955352 | Lisa M Saenz | Social Worker | 7000 Austin St, Forest Hills, NY 11375-1022 | 2006-10-12 |
| 1770190274 | Vanessa Alexandra Polizzotto | Occupational Therapy Assistant | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-09-28 |
| 1649886367 | Maria Dutan | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-09-17 |
| 1316552300 | Ashley Rodriguez | Case Manager/Care Coordinator | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-09-15 |
| 1982219440 | Margaret Burbano | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-09-11 |
| 1770197600 | Natalie A Fermin | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-09-08 |
| 1962029876 | Jaslyn Celleri | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-06-26 |
| 1215553268 | Allison Cea | Occupational Therapist | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-06-24 |
| 1427671205 | Ranique R Blake | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-05-27 |
| 1689297251 | Catherine Mallan Hawley | Occupational Therapist | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302879 | Lakeisha Ward | Specialist | 96-09 72nd Avenue, Forest Hills, NY 11375-1137 | 2019-12-05 |
| 1184265803 | Mariya Khaimova | Specialist | 6812 Yellowstone Blvd Apt 4s, Forest Hills, NY 11375-3244 | 2019-10-03 |
| 1295297760 | Zulaiho Yusupov | Specialist | 6436 110th St, Forest Hills, NY 11375-1436 | 2019-04-03 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| 1114404647 | Anlly J Castillo | Specialist | 6770 Yellowstone Blvd Apt C, Forest Hills, NY 11375-2836 | 2018-07-27 |
| 1134606866 | Helen Chevalier | Specialist | 7000 Austin St Ste 2, Forest Hills, NY 11375-4739 | 2018-07-25 |
| 1083130512 | Keypoint, Inc | Specialist | 10520 66th Ave Apt 3d, Forest Hills, NY 11375-2105 | 2017-08-16 |
| 1053836817 | Carolina Flores | Specialist | 7000 Austin Street Suite 200, Forest Hills, NY 11375 | 2017-08-13 |
| 1861915050 | Towana Yolanda Green | Specialist | 10818 Queens Blvd Ste 4a5th, Forest Hills, NY 11375-4748 | 2017-07-20 |
| 1902327810 | Abigail Elaine Marcus | Specialist | 10011 67th Rd Apt 501, Forest Hills, NY 11375-2721 | 2017-06-30 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on CAMILLE 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.