TAMARA T JACKSON (NPI# 1164061073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164061073 |
| Entity Type | Individual |
| Full Name | TAMARA T JACKSON |
| Practice Address |
40 Jefferson Ave Se Grand Rapids MI 49503-4304 |
| Practice Telephone | 6164561443 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
| 1861824807 | Tamara Desiree Jackson | Case Manager/Care Coordinator | 678 Sagamore St Apt 7h, Bronx, NY 10462-2874 | 2013-08-01 |
| 1043542236 | Tamara Jean Jackson | Community Health Worker | 350 Henry Ave, Wewahitchka, FL 32465-8766 | 2010-02-12 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1366503716 | Tamara Joyce Jackson | Pediatrics | 1328 W St Se, Anacostia Clinic, Washington, DC 20020-5718 | 2006-12-12 |
| 1659898351 | Tamara Renee Jackson | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2017-08-24 |
| 1124471123 | Tamara Jackson | Social Worker | 3604 Canal St, New Orleans, LA 70119-6111 | 2016-07-14 |
| 1932557832 | Tamara Jackson | Social Worker | 16 Coventry St, Hartford, CT 06112-1524 | 2016-06-01 |
| 1851764526 | Tamara Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-11-03 |
| 1366882714 | Tamara M Jackson | Speech-Language Pathologist | 53 Ash Dr, Hollywood, FL 33026-1102 | 2013-06-30 |
| Street Address |
40 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588684252 | Margaret J Devries | Social Worker | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2006-07-19 |
| 1477152262 | Krishanda Marie Mckeown | Registered Nurse | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-10-22 |
| 1427663962 | Jennifer Lynn Reygaert | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-09-11 |
| 1760023063 | Kirk W Narmore | Social Worker | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-10-08 |
| 1477109577 | Elizabeth Virginia Chipman | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-08-14 |
| 1922651769 | Shelby Lynn Kiser | Community/Behavioral Health | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-07-22 |
| 1720631575 | Katy Boles Chapman | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-07-22 |
| 1285287128 | Ann Marie Bauman | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-07-19 |
| 1235627043 | Valerie Young | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2018-04-26 |
| 1841703600 | Heather L Wynia | Social Worker | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302717 | Paige J Welch | Counselor | 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 | 2020-09-24 |
| 1588277040 | Gregory Dean Retzlaff | Counselor | 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 | 2020-08-25 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1649779927 | Larry Mitchell | Counselor | 1960 Millbrook St Se, Grand Rapids, MI 49508-2636 | 2018-02-01 |
| 1235657388 | Courtney Albin | Counselor | 2504 Ardmore St Se Ste 202b, Grand Rapids, MI 49506-4901 | 2017-09-08 |
| 1649712001 | Alexander C Meyer | Counselor | 1200 S Pokegama Ave Ste 160, Grand Rapids, MN 55744-4296 | 2016-11-15 |
| 1871048934 | Nicole Nutt | Counselor | 32 Winter Ave Sw Apt 228, Grand Rapids, MI 49504-6488 | 2016-08-18 |
| 1306247564 | Krystal Strotbaum | Counselor | 5242 Plainfield Ave Ne Ste E, Grand Rapids, MI 49525-1084 | 2014-09-08 |
| 1710390372 | Laura Meeker Wicksall | Counselor | 1430 Robinson Rd Se Ste 206, Grand Rapids, MI 49506-1723 | 2014-06-11 |
| 1023358314 | Carole Lynn Walters | Counselor | 959 Wealthy St Se, Grand Rapids, MI 49506-2519 | 2013-02-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on TAMARA T 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.