DR. BARBARA BAGLEY JACKSON (NPI# 1144391665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144391665 |
| Entity Type | Individual |
| Full Name | DR. BARBARA BAGLEY JACKSON |
| Credential | M.D. |
| Practice Address |
3301 7th Ave Anoka MN 55303-4516 |
| Mailing Address |
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789 |
| Practice Telephone | 7634270322 |
| Practice Fax Number | 6514317505 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34399 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 551121789 | 6516289566 | 6516280411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947974 | Barbara D Jackson | Home Health | 1203 Decatur St, Dothan, AL 36301-2252 | 2019-05-13 |
| 1407140742 | Barbara Jackson | Pharmacist | 2206 Heasley Rd, Englewood, FL 34223-6233 | 2011-06-03 |
| 1386844207 | Barbara Jackson | Registered Nurse | 11 Fairview Ave, Islip Terrace, NY 11752-2701 | 2007-07-19 |
| 1790254613 | Barbara Jackson | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-11-20 |
| 1588961486 | Barbara Anne Jackson | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St, Suite 206, Reno, NV 89502-2259 | 2011-02-12 |
| 1780900720 | Barbara Ann Jackson | Counselor | 7500 W Mississippi Ave, Suite A160, Lakewood, CO 80226-4550 | 2010-04-15 |
| 1851622609 | Barbara G Jackson | Registered Nurse | 100 W Burton St, Murfreesboro, TN 37130-3657 | 2010-01-19 |
| 1306098009 | Barbara Jackson | Rehabilitation Practitioner | 44847 Sierra Hwy, Lancaster, CA 93534-3226 | 2008-10-14 |
| 1700054889 | Barbara Jackson | Counselor | 149 E Carolina Ave, Hartsville, SC 29550-4213 | 2008-02-12 |
| 1366564510 | Barbara Ann Jackson | Nurse Practitioner | 440 Winn Way, Decatur, GA 30030-1715 | 2007-04-06 |
| Street Address |
3301 7TH AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368001 | Matthew Splett | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2005-06-30 |
| 1619587078 | Mary Accomando | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2020-07-31 |
| 1619512621 | Chinedu Uzoma Odurukwe | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-11-13 |
| 1003461864 | Haron Nyakundi Manwa | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-08-07 |
| 1750819223 | Shelly Lynn Lettmann | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2017-05-30 |
| 1801320817 | Andrew Zwack | Pharmacist | 3301 7th Ave, Pharmacy, Anoka, MN 55303-4516 | 2017-04-17 |
| 1801240205 | Ernestine Mambo | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2016-04-21 |
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1932575305 | Peg Fitzgerald Hintz | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-08-19 |
| 1942688957 | Benjamin Gerndt Otopalik | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649357112 | Jayme A Bork | Psychiatry & Neurology | Amrtc 3301 7th Ave N, Anoka, MN 55303 | 2006-11-01 |
| 1831134261 | Victoria B Buoen | Psychiatry & Neurology | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2006-06-19 |
| 1871987024 | Andrea Lundberg | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-03-26 |
| 1093008559 | Brooke Marie Beehler | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2011-05-17 |
| 1629367446 | Lyubov A. Burleson | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2011-04-01 |
| 1427285253 | Donald Eugene Wiger II | Psychiatry & Neurology | 201 E Main Street, Suite 200, Anoka, MN 55303 | 2009-06-19 |
| 1689741753 | Eileen J. Duffy | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-11-30 |
| 1437226503 | Adrian D Duffy | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-11-30 |
| 1710051891 | Michael Francis Koch | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-11-20 |
| 1154491900 | Darell Matthew Shaffer | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-11-09 |
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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.