MICHELLE ANN JACKSON (NPI# 1285923185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285923185 |
| Entity Type | Individual |
| Full Name | MICHELLE ANN JACKSON |
| Practice Address |
7124 Diving Petrels Pl 7124 Diving Petrels Pl North Las Vegas NV 89084-2353 |
| Practice Telephone | 7027720768 |
| Mailing Telephone | 7027720768 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 1063650802 | Michelle Jackson | Occupational Therapy Assistant | 10200 Richmond Ave, Houston, TX 77042-4140 | 2009-02-02 |
| Street Address |
7124 DIVING PETRELS PL 7124 DIVING PETRELS PL |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487052403 | Adrian King | Behavioral Analyst | 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| 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 |
|---|---|---|---|---|
| 1891314084 | Devin Michael Thrower | Rehabilitation Practitioner | 6616 Night Owl Bluff Ave, North Las Vegas, NV 89084-2027 | 2020-04-08 |
| 1790329175 | Martin Solomon Katz | Rehabilitation Practitioner | 3004 Pumpkin Harvest Ave, North Las Vegas, NV 89031-0393 | 2019-10-29 |
| 1851854814 | Robert A Taylor | Rehabilitation Practitioner | 719 Glenwood Springs Ave, North Las Vegas, NV 89032-7689 | 2019-04-08 |
| 1932661774 | Kiara R Savannah | Rehabilitation Practitioner | 2604 Campobello Ave, North Las Vegas, NV 89081-2423 | 2019-04-02 |
| 1174093538 | Francesca Nicole Tan Mangisel | Rehabilitation Practitioner | 3131 W Craig Rd Ste 108, North Las Vegas, NV 89032-0780 | 2018-11-28 |
| 1295213775 | Sheila O'neal | Rehabilitation Practitioner | 5135 Camino Al Norte # 115, North Las Vegas, NV 89031-2387 | 2018-08-06 |
| 1043705742 | Napoleon Stuckey | Rehabilitation Practitioner | 3924 Carla Ann Rd, North Las Vegas, NV 89081-4086 | 2018-06-25 |
| 1285129908 | Tyler Stuckey | Rehabilitation Practitioner | 3955 Keasberry Ave, North Las Vegas, NV 89081-6692 | 2018-06-25 |
| 1528553237 | Sean Reeder | Rehabilitation Practitioner | 4033 Grant Hill Ave, North Las Vegas, NV 89081-6648 | 2018-06-25 |
| 1467947457 | Karina Marie Flores | Rehabilitation Practitioner | 4349 Sharpshooter Ln, North Las Vegas, NV 89031-2197 | 2018-06-22 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on MICHELLE ANN 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.