CYNTHIA JACKSON (NPI# 1215022280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215022280 |
Entity Type | Individual |
Full Name | CYNTHIA JACKSON |
Credential | PSYCH NP |
Practice Address |
6507 S Santa Fe Dr Littleton CO 80120-2910 |
Practice Telephone | 3039533211 |
Mailing Telephone | 3039533211 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WC1500X |
Registered Nurse Specialization: Community Health |
176692 | CO | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
990052 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 71671218 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881205789 | Cynthia Jackson | Technician | 2834 Green Bank Rd, Arbovale, WV 24915-5565 | 2020-08-13 |
1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
1134759863 | Cynthia Rana Jackson | Home Health | 1206 W Central Ave, Coolidge, AZ 85128-9165 | 2020-01-22 |
1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
1619441102 | Cynthia Lee Jackson | Licensed Vocational Nurse | 1646 Best Blvd, Wichita Falls, TX 76301-8144 | 2019-01-17 |
1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
1396298451 | Cynthia Elaine Jackson | Technician, Other | 29167 Village Rd, Southfield, MI 48034-1222 | 2016-07-25 |
1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
1932534047 | Cynthia A Jackson | Home Health Aide | 2801 Eagle St, Houston, TX 77004-4543 | 2013-09-08 |
Street Address |
6507 S SANTA FE DR |
City | LITTLETON |
State | CO |
Zip Code | 80120-2910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750996146 | Arapahoe Mental Health Center, Inc | Clinic/Center | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2020-09-11 |
1972118743 | Arapahoe Mental Health Center, Inc | Counselor | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2020-09-09 |
1437764297 | Arapahoe Mental Health Center, Inc | Clinic/Center | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2020-09-09 |
1275151250 | Katherine Frances Sabella Racine | Nurse Practitioner | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2020-07-07 |
1790243236 | Jamie M Zornes | Social Worker | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2019-03-04 |
1962977801 | Brytany Wynne | Counselor | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2018-10-08 |
1801301817 | Ashley Jarvis | Psychologist | 6507 S Santa Fe Dr, Littleton, CO 80120 | 2017-12-13 |
1427402379 | Diane Ferguson | Counselor | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2016-04-18 |
1851754097 | Ashley Hansen | Social Worker | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2016-04-04 |
1922477785 | My Linh Than | Registered Nurse | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2015-09-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
Find all providers in zip 80120 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
1538706122 | Mile High Psychiatry LLC | Nurse Practitioner | 8089 S Lincoln St Ste 207, Littleton, CO 80122-2720 | 2019-12-03 |
1336425982 | Richard David Wallis | Nurse Practitioner | 6507 S Santa Fe Dr Bldg 22, Littleton, CO 80120-2910 | 2011-10-27 |
1205168622 | Anna Michelle Libby | Nurse Practitioner | 7752 Elmwood St, Littleton, CO 80125-8828 | 2010-02-10 |
1881845881 | Carla Jean Farris | Nurse Practitioner | 1950 W Littleton Blvd Unit 117, Littleton, CO 80120-2000 | 2008-10-08 |
1265583975 | Wendy Dearborn Parker | Nurse Practitioner | 442 King Street, Littleton Counseling Associates, Littleton, MA 01460 | 2007-01-16 |
1942387493 | Mary Sue Stuart | Nurse Practitioner | 5500 S Sycamore St., Littleton, CO 80120-8201 | 2006-11-01 |
1730181272 | Linda Pearson | Nurse Practitioner | 191 E Orchard Rd, Littleton, CO 80121-8000 | 2005-08-15 |
1932710365 | Sarah Stockham Johnson | Nurse Practitioner | 8 W Dry Creek Cir Ste 207, Littleton, CO 80120-8082 | 2020-08-10 |
1275151250 | Katherine Frances Sabella Racine | Nurse Practitioner | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2020-07-07 |
Find all providers in LITTLETON |
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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.