MICHELLE CHRISTINE JACKSON (NPI# 1215558937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215558937 |
| Entity Type | Individual |
| Full Name | MICHELLE CHRISTINE JACKSON |
| Other Name | MICHELLE BALL |
| Credential | ARNP |
| Practice Address |
2505 S 38th St Ste 109 Tacoma WA 98409-7372 |
| Mailing Address |
400 S 43rd St Renton WA 98055-5714 |
| Practice Telephone | 2532743947 |
| Mailing Telephone | 4252283440 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN60536696 | WA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 S 43rd St, Renton, WA 980555714 | 4252283440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434067 | Michelle Jackson | Behavior Technician | 6961 Rooks Ct Apt 305, Frederick, MD 21703-2781 | 2020-07-16 |
| 1790347722 | Michelle Lynn Jackson | Family Medicine | 456 Circle Dr, Kewanee, IL 61443-3622 | 2019-06-29 |
| 1396301487 | Michelle Jackson | Technician | 14000 Castle Blvd Apt 703, Silver Spring, MD 20904-4640 | 2019-05-14 |
| 1184196685 | Michelle Maria Jackson | Health Educator | 220 E 89th St, Brooklyn, NY 11236-1418 | 2018-12-20 |
| 1396253258 | Michelle Laray Jackson | Counselor | 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2018-01-12 |
| 1427509173 | Michelle Jackson | Behavioral Analyst | 115 Franklin St Ne Apt H21, Washington, DC 20002-1091 | 2016-10-18 |
| 1891193678 | Michelle Jackson | Occupational Therapy Assistant | 12611 Hickman Pl, Denver, CO 80239-6204 | 2014-12-10 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1699058008 | Michelle A Jackson | Occupational Therapist | 6045 Ashford Ln, Unit 102, Naples, FL 34110-2416 | 2011-09-21 |
| 1285923185 | Michelle Ann Jackson | Rehabilitation Practitioner | 7124 Diving Petrels Pl, 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 | 2011-03-31 |
| Street Address |
2505 S 38TH ST STE 109 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-7372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| 1942591532 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 5821 S Sprague Court, Tacoma, WA 98409 | 2011-04-29 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801279245 | Amanda Fox | Registered Nurse | Madiagan Army Medical Ctr, 9040 Reid Street, Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2015-07-02 |
| 1831701788 | Amber Janine Spencer | Registered Nurse | 12180 Park Ave S, Tacoma, WA 98447-0001 | 2020-08-21 |
| 1689157935 | Barbara Hewitt | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-09-12 |
| 1366949356 | Kristen Thelen | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2018-04-06 |
| 1194269605 | Christine Satomi Yokoyama | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2016-12-19 |
| 1235507898 | Brian Lancaster | Registered Nurse | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2015-09-11 |
| 1174604391 | Laura Jane Rice | Registered Nurse | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-10-17 |
| 1336220417 | Nancy June Hoveland | Registered Nurse | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810381 | Leah Menucha Millman | Registered Nurse | 1515 Nw 52nd St Apt 304, Seattle, WA 98107-3840 | 2020-01-23 |
| 1790287811 | Andrew Erick Isaacson | Registered Nurse | 1314 Kimball Ave, Richland, WA 99354-3206 | 2018-03-05 |
| 1205349602 | Melissa Lee | Registered Nurse | 5512 Ne 229th Ct, Vancouver, WA 98682-9633 | 2017-11-08 |
| 1548676851 | David Albershardt | Registered Nurse | 5409 Ne 349th Ave, Camas, WA 98607-9685 | 2014-07-08 |
| 1639444961 | Tina Morrison | Registered Nurse | 3224 S Saltese Lake Rd, Greenacres, WA 99016-6012 | 2012-03-20 |
| 1578860821 | Paula Georgette Newman-skomski | Registered Nurse | 6512 57th Dr Ne, Marysville, WA 98270-6130 | 2011-02-23 |
| 1033411830 | Tanya Marie Mason | Registered Nurse | 39 Shortcut Rd, Inchelium, WA 99138 | 2010-11-30 |
| 1396983433 | Kit Wilson | Registered Nurse | 3000 Ne 4th St, Renton Technical College, Renton, WA 98056-4195 | 2009-01-28 |
| 1861667305 | Mary L Flick | Registered Nurse | 242 Monroe St, Port Townsend, WA 98368-5709 | 2008-04-25 |
| 1235743246 | Audrey K Bauer | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
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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.