CHRISTIAN JACKSON (NPI# 1326455874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326455874 |
| Entity Type | Individual |
| Full Name | CHRISTIAN JACKSON |
| Practice Address |
895 N 6th E Mountain Home ID 83647-2207 |
| Practice Telephone | 2085878401 |
| Mailing Telephone | 2085878401 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT-1334 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639264864 | Christian Sterling Jackson | Specialist | Loma Linda Va Medical Center 11201 Benton Street, 3a-58/111g, Loma Linda, CA 92354 | 2006-10-04 |
| 1720614837 | Christian Tyler Jackson | Chiropractor | 120 Unionville Indian Trail Rd W Ste C102, Indian Trail, NC 28079-5670 | 2020-03-20 |
| 1215325824 | Christian Jackson | Counselor | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2015-01-05 |
| 1427460484 | Christian Jackson | Counselor | 1443 Hartford Ave, Johnston, RI 02919-3224 | 2014-05-27 |
| 1063466951 | Christian Jackson | Nurse Anesthetist, Certified Registered | 19600 E 39th St S, Independence, MO 64057-2301 | 2006-05-22 |
| Street Address |
895 N 6TH E |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620791 | Elmore Medical Center Hospital District | Skilled Nursing Facility | 895 N 6th E, Mountain Home, ID 83647-2207 | 2005-06-28 |
| 1710525274 | Kory Dell Olaveson | Pharmacist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2019-12-16 |
| 1083141345 | Shelby Rae Lunday | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2017-05-17 |
| 1346790409 | Regina Ugrinsky | Specialist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2016-10-12 |
| 1811361231 | Melissa Cobb | Physical Therapy Assistant | 895 N 6th E, Mountain Home, ID 83647-2207 | 2015-11-23 |
| 1528435666 | Stacey Mcfarland-smith | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2015-08-24 |
| 1396148029 | Angela Hale | Physical Therapy Assistant | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-10-08 |
| 1477954204 | St Lukes Regional Medical Center | Ambulance | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-09-11 |
| 1528483211 | Christopher Stainberg | Physical Therapy Assistant | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-03-04 |
| 1710309174 | Melanie Lewellyan | Occupational Therapist | 895 N 6th E, Mountain Home, ID 83647-2207 | 2014-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528462074 | Rebecca Hicks | Occupational Therapist | 313 Highway 201 N Ste 9, Mountain Home, AR 72653-3185 | 2014-10-13 |
| 1053712208 | Tara Maden | Occupational Therapist | Veterans Way & Lamont St, Mountain Home, TN 37684 | 2014-09-08 |
| 1164756482 | Darcie Renee Reed | Occupational Therapist | 100 E. 9th Street, Mountain Home, AR 72653 | 2009-09-21 |
| 1679700033 | Kristen Speak Booth | Occupational Therapist | 200 2ndstreet, Mountain Home, TN 37684 | 2009-06-12 |
| 1407053283 | Edington Enterprises Inc | Occupational Therapist | 504 Powers St, Mountain Home, AR 72653-2925 | 2007-06-27 |
| 1871705350 | Tasha Nicole Harris | Occupational Therapist | 58 N. Golden Eye Ct., Mountain Home, AR 72653-5320 | 2007-05-04 |
| 1649491069 | Gretchen Marie Foster | Occupational Therapist | 805 Buford Rd, Mountain Home, AR 72653-6301 | 2007-05-02 |
| 1386783926 | Paul Allen Bolt | Occupational Therapist | 34 Dunn Ln, Mountain Home, AR 72653-8663 | 2007-02-06 |
| 1174577191 | Paulette Susan Walton | Occupational Therapist | Physical Medicine & Rehab Occupational Therapy, Mountain Home, TN 37684 | 2006-05-22 |
| 1902861933 | Tammy N Wagner | Occupational Therapist | Pmrs 117, Mountain Home, TN 37684 | 2006-04-20 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
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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.