ANDREA JACKSON (NPI# 1265687594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265687594 |
| Entity Type | Individual |
| Full Name | ANDREA JACKSON |
| Practice Address |
1311 Fort Street Barling AR 72923 |
| Mailing Address |
Po Box 23070 Barling AR 72923-0070 |
| Practice Telephone | 4794525040 |
| Mailing Telephone | 4794525040 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R73590 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| Street Address |
1311 FORT STREET |
| City | BARLING |
| State | AR |
| Zip Code | 72923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619992633 | All-med Home Care Inc. | Durable Medical Equipment & Medical Supplies | 1311 Fort Street, Ste O, Barling, AR 72923 | 2006-07-12 |
| 1275819344 | Veronica Anthony | Case Manager/Care Coordinator | 1311 Fort Street, Suite J, Barling, AR 72923-0000 | 2011-11-02 |
| 1083990154 | Misha Brownlow | Case Manager/Care Coordinator | 1311 Fort Street, Barling, AR 72923-0000 | 2011-11-02 |
| 1902182074 | Elise Yarbrough | Case Manager/Care Coordinator | 1311 Fort Street, Suite J, Barling, AR 72923-0000 | 2011-11-02 |
| 1730463670 | Ashley Earnhart | Counselor | 1311 Fort Street, Barling, AR 72923 | 2011-10-10 |
| 1043590631 | Kayla Montgomery | Counselor | 1311 Fort Street, Barling, AR 72923-0000 | 2011-08-26 |
| 1093004111 | Shane Ridenour | Case Manager/Care Coordinator | 1311 Fort Street, Barling, AR 72923 | 2011-03-29 |
| 1184913204 | Shantell Emory | Case Manager/Care Coordinator | 1311 Fort Street, Barling, AR 72923 | 2011-03-29 |
| 1265721385 | Brittany Beights | Case Manager/Care Coordinator | 1311 Fort Street, Barling, AR 72923 | 2011-03-29 |
| 1295024313 | Lequarius Nimmer | Case Manager/Care Coordinator | 1311 Fort Street, Barling, AR 72923 | 2011-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1912568304 | Community Family Medical Clinic, LLC. | Family Medicine | 1202 Fort Street, Barling, AR 72923 | 2019-06-26 |
| 1548718125 | Chandra Mathis | Nurse Practitioner | 1200 Fort St, Barling, AR 72923 | 2016-09-13 |
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1346464120 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 618 Fort Street, Bartling, AR 72923 | 2007-04-12 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1922142454 | Edward R Obana Jr. | Social Worker | 1311 Fort Street, Suite J, Barling, AR 72923 | 2007-02-17 |
| 1730198110 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1610 Fort Street, Barling, AR 72923 | 2006-08-05 |
| Find all providers in zip 72923 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588709646 | Perspectives Behavioral Health Management, LLC | Registered Nurse | 115 Fort St, Barling, AR 72923-2646 | 2007-02-20 |
| 1831343219 | Tysha Canley | Registered Nurse | 1311 Fort Street, Barling, AR 72923 | 2008-11-11 |
| 1235380585 | Richard Swearingen | Registered Nurse | 1311 Fort Street, Barling, AR 72923 | 2008-10-06 |
| 1699926972 | Joan Beshears | Registered Nurse | 1311 Fort Street, Barling, AR 72923 | 2008-10-06 |
| 1982855201 | Crystal Miller | Registered Nurse | 1311 Fort St., Barling, AR 72923 | 2008-10-06 |
| 1881845188 | Melinda Brodie | Registered Nurse | 1311 Fort Street, Barling, AR 72923 | 2008-10-06 |
| 1508017807 | Donna Earl | Registered Nurse | 1311 Fort Street, Barling, AR 72923 | 2008-10-06 |
| 1245366962 | Rhonda Gail Peters | Registered Nurse | 1311 Fort St, Ste J, Barling, AR 72923 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518434745 | Shawnte Marie Farmer | Registered Nurse | 910 Nw 7th St Ste 6, Bentonville, AR 72712-4565 | 2018-10-25 |
| 1346789948 | Watkins Family Health & Counseling, Inc. | Registered Nurse | 10345 W Jeter Rd, Fayetteville, AR 72701-9382 | 2017-02-15 |
| 1841740115 | Kelsey Morgan Sallee | Registered Nurse | 4004 Massard Rd, Fort Smith, AR 72903-6222 | 2016-10-10 |
| 1982060562 | Buffalo River Clinic Inc | Registered Nurse | 933 Mc 6013, Yellville, AR 72687-7595 | 2016-01-12 |
| 1164805636 | Teressa Lynn Barnes | Registered Nurse | 810 N. Hutchinson St., Pine Bluff, AR 71602-4644 | 2015-07-02 |
| 1215194055 | Darin Paul Morgan | Registered Nurse | 1014 Autumn Rd Ste 3, Little Rock, AR 72211-3768 | 2008-05-20 |
| 1497922868 | Jacqueline Regina Love-ryan | Registered Nurse | 620 S Laurel, Pine Bluff, AR 71601-4859 | 2008-05-14 |
| 1669664975 | Lori Jean Cline | Registered Nurse | 2322 Gunpowder Rd, Little Rock, AR 72227-3025 | 2007-08-10 |
| 1407910680 | Susan Lowrey | Registered Nurse | 4601 W 7th St, Little Rock, AR 72205-5441 | 2006-12-21 |
| 1588691075 | Marian Christine Parson | Registered Nurse | 710 Holly Street, Siloam Springs, AR 72761 | 2006-06-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANDREA 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.