DR. KRISTEN B JACKSON


Address: 480 Medical Center Dr, Dodd Hall 2145, Columbus, OH 43210-1229
Phone: 6142933830

DR. KRISTEN B JACKSON (NPI# 1164760500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164760500
Entity Type Individual
Full Name DR. KRISTEN B JACKSON
Credential PH.D.
Practice Address 480 Medical Center Dr
Dodd Hall 2145
Columbus
OH 43210-1229
Practice Telephone 6142933830
Practice Fax Number 6142934870
Mailing Telephone 6142933830
Mailing Fax Number 6142934870
Enumeration Date 2013-01-18
Last Update Date 2013-01-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Other Providers KRISTEN JACKSON

NPI Name Taxonomy Address Enumeration
1316465347 Kristen Jackson Registered Nurse 834 N Seminary St Ste 201, Galesburg, IL 61401-2898 2017-08-30
1255727061 Kristen Jackson Registered Nurse 4028 Connors Way, Blasdell, NY 14219-2985 2015-04-08
1982008918 Kristen Jackson Nurse Practitioner 3333 Bunet Avenue, Mlc 5021, Cincinnati, OH 45229-3026 2014-10-20
1801167267 Kristen Jackson Specialist 1007 Sienna Dr, Danbury, CT 06810-7151 2012-01-17
1174804678 Kristen M Jackson Speech-Language Pathologist 114 Lockett Ln, Saint George, KS 66535-9618 2011-08-29
1982211355 Kristen Imani Jackson Case Manager/Care Coordinator 1995 Gentilly Blvd Ste C-400, New Orleans, LA 70119-1700 2020-09-29
1841839339 Kristen Jackson Physician Assistant 6001 Stonewood Dr, Wexford, PA 15090-7380 2019-12-31
1952877045 Kristen Lorraine Jackson Physical Therapy Assistant 720 Yorklyn Rd Ste 150, Hockessin, DE 19707-8729 2018-10-16
1518445634 Kristen Jackson Case Manager/Care Coordinator 2404 Ferrand St Ste 24, Monroe, LA 71201-3233 2018-07-31
1861910499 Kristen Staples Jackson Speech-Language Pathologist 701 Grove Rd, Greenville, SC 29605 2017-09-04

Office Location

Street Address 480 MEDICAL CENTER DR
DODD HALL 2145
City COLUMBUS
State OH
Zip Code 43210-1229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116827 William S Pease Physical Medicine & Rehabilitation 480 Medical Center Dr, Room 1018, Columbus, OH 43210-1245 2005-07-07
1396344560 Daniel Hurlburt Psychologist 480 Medical Center Dr, Columbus, OH 43210-1229 2020-10-20
1750905188 Alex Eubank Physical Therapist 480 Medical Center Dr, Columbus, OH 43210-1229 2020-06-01
1578022125 Francesco Sammartino Neurological Surgery 480 Medical Center Dr, Columbus, OH 43210-1229 2019-03-13
1518499649 Nina Couette Student in an Organized Health Care Education/Training Program 480 Medical Center Dr, Columbus, OH 43210-1229 2017-03-29
1538517370 Jennifer Elaine Gadawski Nurse Practitioner 480 Medical Center Dr, Columbus, OH 43210-1229 2016-06-02
1750737847 Adam Loechler Rehabilitation Hospital 480 Medical Center Dr, Columbus, OH 43210-1229 2016-05-09
1043664899 Ryan Mathew Internal Medicine 480 Medical Center Dr, Columbus, OH 43210 2016-04-19
1902265077 Aristide Merola Psychiatry & Neurology 480 Medical Center Dr, Columbus, OH 43210-1229 2016-02-18
1518385020 Bryan Coniglio Internal Medicine 480 Medical Center Dr, Columbus, OH 43210-1229 2014-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861014672 Nadine El Ayouty Dentist 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2020-05-14
1982233953 Zacharia A Grami Emergency Medicine 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 2020-04-02
1578191219 Kaitlyn Greiner Student in an Organized Health Care Education/Training Program The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 2020-03-30
1265069280 Meryl P Sudhakar Student in an Organized Health Care Education/Training Program 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 2020-03-27
1124653514 William A Jansak Nurse Practitioner The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 2020-03-06
1114570058 Suzanne Bartle Haring Marriage & Family Therapist 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 2019-07-19
1487207387 Mehak Kaul Dentist 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2019-07-19
1043873920 Andrew Kendle Student in an Organized Health Care Education/Training Program 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 2019-04-17
1093277840 Cory Pettit Student in an Organized Health Care Education/Training Program The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 2019-04-02
1447711866 Drew Michael S Donnell Student in an Organized Health Care Education/Training Program Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 2019-03-28
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750554473 Bruce Steven Growick Psychologist 934 Middlebury Dr., Columbus, OH 43085-3466 2008-04-03
1952826943 Eric Dean Anderson Psychologist 20 S 3rd St Ste 210, Columbus, OH 43215-4206 2017-08-10
1467721605 Lynne Gauthier Psychologist 480 Medical Center Dr, 2145 Dodd Hall, Columbus, OH 43210-1229 2011-12-16
1104133289 Janice Wunderle Bosley Phd LLC Psychologist 4775 Knightsbridge Blvd, Suite 203, Columbus, OH 43214-4313 2010-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710549134 Daniel Harvey Mazalic Psychologist 8599 Knox School Rd, Minerva, OH 44657-9437 2019-07-05
1043631724 Amy Ricciardi Psychologist 38820 Hidden Canyon Dr, Grafton, OH 44044-9222 2013-12-23
1679502553 Rehabilitation Psychology, Inc. Psychologist 200 Bradenton Ave, Dublin, OH 43017-7515 2006-07-02
1003213844 Frank Kenner Psychologist 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2014-11-21
1558646406 Sara Elizabeth Walters-bugbee Psychologist 10701 East Blvd, Psychology Service 116b, Cleveland, OH 44106-1702 2011-10-11
1245550250 Behavioral Consultants LLC Psychologist 11206 Woodtown Rd, Galena, OH 43021-9638 2010-06-02
1205921061 Bruce L Ladle Psychologist 30 E Apple St, Suite 6255, Dayton, OH 45409-2939 2006-10-04
1205847449 Kip Smith Psychologist 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 2006-08-11
1922032929 Elizabeth K Dreben Psychologist 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 2006-07-10
1053342840 Anita B Gantner Psychologist 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 2006-07-06
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Competitor

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City COLUMBUS
Zip Code 43210

Improve Information

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Dataset Information

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.

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