KIM JACKSON (NPI# 1285177261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285177261 |
| Entity Type | Individual |
| Full Name | KIM JACKSON |
| Credential | PHD |
| Practice Address |
201 E 16th Ave 206 Anchorage AK 99501-5265 |
| Practice Telephone | 9077640646 |
| Mailing Telephone | 9077640646 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 1044974 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415464 | Kim B Jackson | Massage Therapist | 29 Glen Cove Ave Ste 212, Glen Cove, NY 11542-2831 | 2020-10-18 |
| 1841706835 | Kim Yvette Jackson | Non-emergency Medical Transport (VAN) | 2101 Hickory Hill Dr, Mansfield, TX 76063-2070 | 2017-12-28 |
| 1801215595 | Kim E Jackson | Marriage & Family Therapist | 1337 Forest Dr, Louisville, KY 40219-1418 | 2014-04-10 |
| 1285944637 | Kim Janice Jackson | Licensed Practical Nurse | 1135 East 82nd Street, Brooklyn, NY 11236 | 2010-10-19 |
| 1861987331 | Kim N Jackson | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2018-06-27 |
| 1902257389 | Kim Jackson | Community Health Worker | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2016-06-27 |
| 1285933176 | Kim Marie Jackson | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2011-03-18 |
| 1003126699 | Kim M Jackson | Social Worker | 3737 Lander Road, Pepper Pike, OH 44124-5712 | 2010-10-15 |
| 1033143581 | Kim Jackson | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-10 |
| Street Address |
201 E 16TH AVE 206 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194562 | Rehabilitation Medicine Associates | Rehabilitation Practitioner | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538476890 | Ann Marie Shankle | Rehabilitation Practitioner | 316 Lakeview Drive, Naknek, AK 99633-0316 | 2010-09-08 |
| 1699969436 | Gregg Mathew Miller | Rehabilitation Practitioner | 5461 E Mayflower Ln Ste 5, Wasilla, AK 99654-7892 | 2007-09-05 |
| 1932244068 | Alaska Aquatic Therapy Inc. | Rehabilitation Practitioner | Mile 23.4 Spur Hwy, Poolside Ave, Nikiski, AK 99635 | 2007-02-20 |
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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.