SHANNON JACKSON (NPI# 1124526280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124526280 |
| Entity Type | Individual |
| Full Name | SHANNON JACKSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
850 Independence Ave Akron OH 44310-2541 |
| Practice Telephone | 3307668277 |
| Mailing Telephone | 3307668277 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.020775 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.020775 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.020775 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761149 | Shannon M Jackson | In Home Supportive Care | 4028 Vira Rd, Stow, OH 44224-3637 | 2020-02-08 |
| 1588182463 | Shannon Daneigh Jackson | Technician | 4660 Martin Luther King Jr Ave Sw Apt B406, Washington, DC 20032-4978 | 2017-08-31 |
| 1851842843 | Shannon Regina Jackson | Nurse Practitioner | 294 Cypress Lakes Dr., Slidell, LA 70458 | 2016-10-14 |
| 1598027393 | Shannon Jackson | Behavioral Analyst | 2325 Nw 115th St, Oklahoma City, OK 73120-7309 | 2012-06-08 |
| 1417281064 | Shannon Jackson | Psychologist | 150 North Main St, Echn Health Services, Manchester, CT 06040-4188 | 2009-09-30 |
| 1235766601 | Shannon Laura Jackson | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-03-25 |
| 1407411366 | Shannon Jackson | Physical Therapy Assistant | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2019-05-07 |
| 1558742395 | Shannon Marie Jackson | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2015-06-17 |
| 1811323645 | Shannon Denise Jackson | Nurse Practitioner | 2800 Dallas Pkwy, Suite 150, Plano, TX 75093-5993 | 2013-09-25 |
| 1033429832 | Shannon Byrd Jackson | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2010-10-14 |
| Street Address |
850 INDEPENDENCE AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44310-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| 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 |
|---|---|---|---|---|
| 1821589987 | James D Cooper | Nurse Practitioner | 224 W Exchange St Ste 330, Akron, OH 44302 | 2018-05-24 |
| 1508305392 | Tracie Fitch | Nurse Practitioner | 3043 Sanitarium Rd Ste 1, Akron, OH 44312-4600 | 2017-02-14 |
| 1245789676 | Bridgett Mary Hoover | Nurse Practitioner | 265 Portage Trail Ext. West, Suite 200, Akron, OH 44223-3613 | 2016-09-27 |
| 1831573799 | Sara L Grater | Nurse Practitioner | 701 White Pond Dr Ste 300, Akron, OH 44320-1193 | 2015-07-10 |
| 1841601572 | M. Amber Karsian | Nurse Practitioner | 26861 Hwy 34, Akron, CO 80720 | 2014-05-15 |
| 1699114801 | Summa Physicians Inc | Nurse Practitioner | 75 Arch St Ste 401, Akron, OH 44304-1433 | 2013-06-20 |
| 1316225667 | April Jordan | Nurse Practitioner | 1 Akron General Ave Bldg 3015th, Akron, OH 44307-2432 | 2011-08-03 |
| 1023263258 | Summa Physicians Inc | Nurse Practitioner | 525 E Market St Ste 400, Akron, OH 44304-1619 | 2008-12-02 |
| 1053569624 | Ruth Anna Youssefi | Nurse Practitioner | 215 W Bowery St Ste 3500, Akron, OH 44308-1024 | 2008-09-08 |
| 1467641324 | Alicia Ganelli | Nurse Practitioner | 95 Arch St. #300, Akron, OH 44304 | 2007-10-17 |
| Find all providers in AKRON | ||||
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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.