MR. RHETT JACKSON (NPI# 1194900829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194900829 |
| Entity Type | Individual |
| Full Name | MR. RHETT JACKSON |
| Credential | RN |
| Practice Address |
1300 Stedman St Ketchikan AK 99901-6661 |
| Practice Telephone | 9072473510 |
| Practice Fax Number | 9072473520 |
| Mailing Telephone | 9072473510 |
| Mailing Fax Number | 9072473520 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 19447 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730213 | Rhett Baylor Jackson | Dentist | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2020-04-29 |
| 1235107426 | Rhett L Jackson | Internal Medicine | 825 Ne 10th St, Oupb 4300, Oklahoma City, OK 73104-5417 | 2006-03-14 |
| Street Address |
1300 STEDMAN ST |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508827163 | Edward Bomberger II | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2006-03-31 |
| 1588015309 | Billy J Stroud IIi | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-06-22 |
| 1942650387 | Ashley Sarkisian | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-06-16 |
| 1215383377 | William Jahns | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-05-09 |
| 1740624170 | Angie Smitley | Dental Hygienist | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2013-04-29 |
| 1285948877 | Hswl Fo Kodiak Det Ketchikan | Military/U.S. Coast Guard Pharmacy | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2010-08-06 |
| 1275768426 | Lindsay Sonnier | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2009-05-18 |
| 1912131608 | Michael John Dellaneve | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2009-05-08 |
| 1619143658 | U.S. Coast Guard Medical Clinic | Case Management | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2008-04-30 |
| 1346450905 | John Gilbert | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467977173 | Lindsay Lamon | Registered Nurse | 605 Gateway Ct, Ketchikan, AK 99901-5672 | 2017-08-03 |
| 1104219666 | Susan Newburn-medel | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2015-03-09 |
| 1942639687 | Katherine Davidson | Registered Nurse | 3208 Timberline Ct, Ketchikan, AK 99901-5775 | 2013-11-04 |
| 1811185275 | Janet May Widmyer | Registered Nurse | 2960 Tongass Aveune, Suite 403, Ketchikan, AK 99901 | 2007-10-11 |
| 1508372277 | Crystal Pennino | Registered Nurse | 605 Gateway Ct, Ketchikan, AK 99901-5672 | 2017-12-18 |
| 1386099265 | Joann Shimek | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2016-04-28 |
| 1508227612 | Kathryn Helfrich | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2016-03-16 |
| 1518331834 | Jennifer Lynn Bergen | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2015-11-24 |
| 1770977738 | Tonda Wolfe | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2015-03-26 |
| 1497148753 | Emily Mcclory | Registered Nurse | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2015-03-11 |
| Find all providers in KETCHIKAN | ||||
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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.