DR. SHAVON LEIGH JACKSON-MICHEL (NPI# 1144523390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144523390 |
| Entity Type | Individual |
| Full Name | DR. SHAVON LEIGH JACKSON-MICHEL |
| Credential | N.D. |
| Practice Address |
399 Hoover Ave Suite 8 Bloomfield NJ 07003-3924 |
| Practice Telephone | 9735448399 |
| Practice Fax Number | 9734297887 |
| Mailing Telephone | 9735448399 |
| Mailing Fax Number | 9734297887 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 000448 | CT | Other Service Providers |
| Street Address |
399 HOOVER AVE SUITE 8 |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376582734 | Lori Ann Colyer-aversa | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2006-06-04 |
| 1235522194 | Primary Care Partners, LLC | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2015-03-16 |
| 1992091573 | Mounzer Yacoub | Obstetrics & Gynecology | 399 Hoover Ave, Suite #1, Bloomfield, NJ 07003 | 2011-06-22 |
| 1508097122 | Mikyle Shakira Byrd-vaughn | Naturopath | 399 Hoover Ave, Suite 9, Bloomfield, NJ 07003-3924 | 2009-07-30 |
| 1053585612 | Brookside Family Dental Corp | Dentist | 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003 | 2008-04-15 |
| 1871789396 | Melissa Brinton | Social Worker | 399 Hoover Ave, Bloomfield, NJ 07003-3924 | 2007-09-18 |
| 1972638070 | Kinda Hanna Yacoub | Dentist | 399 Hoover Ave, Suite #1, Bloomfield, NJ 07003 | 2007-02-22 |
| 1356429807 | Maria M Yerovi | Pediatrics | 399 Hoover Ave, Suite 4, Bloomfield, NJ 07003 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194914994 | Ceylon Marie Cicero | Naturopath | 31 Tobey Rd, Suite 6, Bloomfield, CT 06002-3521 | 2007-10-17 |
| 1508097122 | Mikyle Shakira Byrd-vaughn | Naturopath | 399 Hoover Ave, Suite 9, Bloomfield, NJ 07003-3924 | 2009-07-30 |
| 1861636953 | Natural Practices, LLC | Naturopath | 31 Tobey Rd, Suite #6, Bloomfield, CT 06002-3521 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435262 | Eva Yacobi | Naturopath | 13 Oak Trail Rd, Englewood, NJ 07631-5120 | 2020-07-24 |
| 1508485665 | Theresa Messano | Naturopath | 525 New Jersey Ave, Brick, NJ 08724-1413 | 2020-04-09 |
| 1346882529 | Mansi Vira | Naturopath | 728 S Middlesex Ave, Colonia, NJ 07067-3724 | 2019-10-09 |
| 1184271082 | Wisdoms Inventions | Naturopath | 81 Lindsley Pl, East Orange, NJ 07018-1109 | 2019-08-25 |
| 1114579745 | Diane Merkovsky | Naturopath | 88 W Madison Ave, Dumont, NJ 07628-2907 | 2019-07-13 |
| 1639736341 | Andrew Godenick | Naturopath | 3 Woodlawn Ave, Green Brook, NJ 08812-2320 | 2019-05-29 |
| 1902394018 | Cheryl Ann Jemmott | Naturopath | 464 Parker St, Newark, NJ 07104-1420 | 2018-04-24 |
| 1528422771 | Renee Vala | Naturopath | 2602 Grange Ct, Mays Landing, NJ 08330-3308 | 2016-04-13 |
| 1609254200 | Cheryl Karcher | Naturopath | 242 Rte 579, Bloomsbury, NJ 08804-3314 | 2015-05-14 |
| 1871985218 | William Bryant IIi | Naturopath | 254 Vassar Ave, Newark, NJ 07112-1417 | 2015-02-23 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.