MRS. ANGELA YVETTE JACKSON (NPI# 1215329032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215329032 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA YVETTE JACKSON |
| Practice Address |
185 N Pearl Lake Cswy #106 Altamonte Springs FL 32714-2956 |
| Practice Telephone | 2033604854 |
| Mailing Telephone | 2033604854 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1104431790 | Angela P Jackson | Technician | 5528 Meadow Passage Dr, Canal Winchester, OH 43110-8397 | 2020-09-10 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| 1952695652 | Angela Michelle Jackson | Counselor | 2501 Hunters Hill Dr, Apt. 721, Enid, OK 73703-2311 | 2011-05-31 |
| Street Address |
185 N PEARL LAKE CSWY #106 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073175170 | Lina Maria Rivera | Psychologist | 566 Calibre Crest Pkwy Apt 103, Altamonte Springs, FL 32714-3628 | 2019-06-28 |
| 1134510522 | Ashley Pacheco | Psychologist | 662 Glades Cir Apt 108, Altamonte Springs, FL 32714-7139 | 2015-02-06 |
| 1851795504 | Rachaun Callender | Psychologist | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-10-09 |
| 1629478458 | Casie Kansol | Psychologist | 801 Douglas Ave, Suite 208, Altamonte Springs, FL 32714-5206 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399897 | Ana M Orozco | Psychologist | 3778 Lake Margaret Dr, Orlando, FL 32812-6616 | 2020-09-04 |
| 1831745512 | Charleen Diaz | Psychologist | 771 Lucaya Dr, Kissimmee, FL 34758-3279 | 2019-08-17 |
| 1407347040 | Yarisel Marrero Torres | Psychologist | 3501 W Vine St Ste 278, Kissimmee, FL 34741-4673 | 2018-05-18 |
| 1982120325 | Mindwealth Institute LLC | Psychologist | 151 Se 3rd Ave Apt 435, Delray Beach, FL 33483-4683 | 2017-08-17 |
| 1124562384 | Anabel Perez Rodriguez | Psychologist | 11075 Prairie Hawk Dr, Orlando, FL 32837-8129 | 2016-12-07 |
| 1740633544 | Pierre Jean Duvelsaint | Psychologist | 595 W Church St, Apt. 602, Orlando, FL 32805-2285 | 2016-07-15 |
| 1558713578 | Leidy Johana Ortega | Psychologist | 3910 Shoreview Dr, Kissimmee, FL 34744-0002 | 2016-07-01 |
| 1497104483 | Patricia Prieto | Psychologist | 13584 Crystal River Dr, Orlando, FL 32828-8443 | 2016-06-09 |
| 1497100788 | Suinda Enid Rodriguez I | Psychologist | 2118 Florida Soapberry Blvd, Orlando, FL 32828-4869 | 2016-04-25 |
| 1437511763 | Erika Abbad | Psychologist | 2547 N Alafaya Trl Apt 92, Orlando, FL 32826-3960 | 2016-03-25 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
Please comment or provide details below to improve the information on MRS. ANGELA YVETTE 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.