EMILY JACKSON (NPI# 1164040952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164040952 |
| Entity Type | Individual |
| Full Name | EMILY JACKSON |
| Practice Address |
11200 Sw 8th St Miami FL 33199-2516 |
| Mailing Address |
43430 Squirrel Ridge Pl Leesburg VA 20176-6875 |
| Practice Telephone | 3053482000 |
| Mailing Telephone | 7032837140 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720509268 | Emily Jackson | Nurse Practitioner | 2623 Centennial Blvd Ste 103, Tallahassee, FL 32308-0601 | 2017-07-06 |
| 1568618825 | Emily Jackson | Counselor | 26229 Us Hughway 119 North, Toler, KY 41514 | 2008-08-18 |
| 1184893398 | Emily Bennett Jackson | Social Worker | 132 W 112th St Apt 3d, New York, NY 10026-3753 | 2008-02-22 |
| 1417040288 | Emily Jackson | Physical Therapist | 5400 S Pennsylvania Ave, Lansing, MI 48911-4049 | 2006-10-02 |
| 1831790328 | Emily Estella Jackson | Counselor | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-11-03 |
| 1346883493 | Emily Lynn Jackson | Physician Assistant | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-10-22 |
| 1265073969 | Emily Gigena Jackson | Counselor | 1200 N Howard St, Alexandria, VA 22304-1634 | 2019-10-03 |
| 1437709888 | Emily Jackson | Counselor | 101 Buford Rd Ste 110, North Chesterfield, VA 23235-5292 | 2019-09-18 |
| 1316419955 | Emily Carol Jackson | Counselor | 501 Bishop Ln N, Mobile, AL 36608-5821 | 2018-12-20 |
| 1225507445 | Emily Ellen Jackson | Nurse Practitioner | 160 Roberts Ln, Hillsboro, OH 45133-7615 | 2018-11-16 |
| Street Address |
11200 SW 8TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33199-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024914 | Jeffrey A Groom | Nurse Anesthetist, Certified Registered | 11200 Sw 8th St, Miami, FL 33199-0001 | 2005-06-26 |
| 1710505300 | Laura Antonelli | Specialist/Technologist | 11200 Sw 8th St, Ach3 - 336, Miami, FL 33199-4280 | 2020-07-09 |
| 1285259028 | Emily Geisler | Student in an Organized Health Care Education/Training Program | 11200 Sw 8th St, Ahc-2, Miami, FL 33199 | 2020-06-08 |
| 1356970859 | Fong Han Nham | Student in an Organized Health Care Education/Training Program | 11200 Sw 8th St, Miami, FL 33199-2516 | 2020-04-06 |
| 1336781871 | Amanda Dean Ley | Counselor | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-10-16 |
| 1689216665 | Maura Poleon | Student in an Organized Health Care Education/Training Program | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-10-11 |
| 1316596729 | John Jefferson Johnson V | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-09-09 |
| 1306491840 | Mark Perez | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-08-01 |
| 1679135636 | Kevin Rojas | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-06-30 |
| 1083180004 | Qi Wilson | Nurse Practitioner | 11200 Sw 8th St, Miami, FL 33199 | 2018-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952790818 | Margaret H. Sibley | Psychologist | 11200 Sw 8th Street, Ahc1 Room 146, Miami, FL 33199 | 2015-01-15 |
| 1568652857 | Alexandra Marie Alvarez | Specialist/Technologist | Fiu University Park Campus Zeb 251a, Miami, FL 33199 | 2007-08-01 |
| 1467664284 | Jennifer Ann Smoyak | Specialist/Technologist | 11200 Sw 8th St., Pharmed Arena Rm 156g, Miami, FL 33199 | 2007-05-04 |
| 1700017860 | Alan L Vitelli | Specialist/Technologist | 11200 Sw 8 St, Arena 156, Miami, FL 33199 | 2009-08-06 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1609431071 | Camila Betancourt | Counselor | 11200 Sw 8 St Ahc 1 Room 242, Miami, FL 33199-0001 | 2019-05-01 |
| 1225599095 | Amanda Leigh Fernandez | Nutritionist | 11200 Sw 8th Street Fiu Arena, Miami, FL 33199-0001 | 2019-03-26 |
| 1699231076 | Vinita Gulati | Chiropractor | 11099 Sw 10th St Pg6 Suite 145, Miami, FL 33199-0001 | 2019-02-11 |
| 1548796238 | Benjamin Mcgrath | Specialist/Technologist | 11200 Sw 8th St Arena # 156, Miami, FL 33199-0001 | 2017-05-02 |
| 1477009884 | Shane Vaughan | Specialist/Technologist | 11200 Sw 8th Street Ahc3 Rm 335, Miami, FL 33199-0001 | 2016-08-27 |
| Find all providers in zip 33199 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| 1801494166 | Jason Duran | Student in an Organized Health Care Education/Training Program | 1457 Nw 50th St, Miami, FL 33142-4161 | 2020-10-09 |
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1457958662 | Cristian Perez | Student in an Organized Health Care Education/Training Program | 3060 Nw 96th St, Miami, FL 33147-2353 | 2020-10-01 |
| 1659988509 | Karen Hernandez | Student in an Organized Health Care Education/Training Program | 3871 Sw 147th Ave Apt 5, Miami, FL 33185-4006 | 2020-09-24 |
| 1255948329 | Joel Emilio Diaz-portorreal | Student in an Organized Health Care Education/Training Program | 14727 Sw 112th Ter, Miami, FL 33196-3326 | 2020-09-23 |
| 1205442043 | Elizabeth Granado | Student in an Organized Health Care Education/Training Program | 14293 Sw 145th Pl, Miami, FL 33186-6787 | 2020-09-17 |
| 1598370678 | Christian Marcos | Student in an Organized Health Care Education/Training Program | 2930 Sw 93rd Ct, Miami, FL 33165-3147 | 2020-09-15 |
| 1255944658 | Tali Epelbaum | Student in an Organized Health Care Education/Training Program | 3105 Ne 210th Ter, Miami, FL 33180-3911 | 2020-08-25 |
| Find all providers in MIAMI | ||||
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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.