ABBY JACKSON (NPI# 1285259234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285259234 |
| Entity Type | Individual |
| Full Name | ABBY JACKSON |
| Practice Address |
7777 E Us Highway 66 El Reno OK 73036-9125 |
| Practice Telephone | 4054039572 |
| Mailing Telephone | 4054039572 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
7777 E US HIGHWAY 66 |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-9125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568586956 | Miriam Cline | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2007-03-19 |
| 1831707140 | Jordan Thomas | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2020-07-22 |
| 1255965992 | Kirstein M Montoya | Phlebology | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2020-03-02 |
| 1003440744 | Brittany Menjivar | Technician/Technologist | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2020-03-02 |
| 1407486129 | Cassandra Dawn Darling | Counselor | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2020-01-22 |
| 1760027494 | Kaycee Threatt | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2019-11-18 |
| 1720622608 | Rebecca Lynn Deckard | Counselor | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2019-11-04 |
| 1427699446 | Tracy Sanderson | Counselor | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2019-10-01 |
| 1710546114 | Chelci Dawn Wood | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2019-06-10 |
| 1073087623 | Stacey Diane Quinton | Case Manager/Care Coordinator | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1982178299 | Kristen Diane Perry | Counselor | 7777 East Route 66, El Reno, OK 73036-7303 | 2019-01-20 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1649728247 | Stephanie L Sandberg | Counselor | 512 Sw 23rd St, El Reno, OK 73036-5856 | 2016-09-13 |
| 1821413550 | Susan Gibson | Counselor | 1210 S Hadden Ave, El Reno, OK 73036-5445 | 2014-03-04 |
| 1316291776 | Charles O Hunt | Counselor | 800 Sw 23rd St, El Reno, OK 73036-5812 | 2012-11-06 |
| 1720338205 | Katy Erin Leimbach | Counselor | 7777 E. Highway 66, El Reno, OK 73036 | 2012-09-12 |
| Find all providers in EL RENO | ||||
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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.