SHERYL JANE JACKSON (NPI# 1336293323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336293323 |
| Entity Type | Individual |
| Full Name | SHERYL JANE JACKSON |
| Credential | CNP |
| Practice Address |
636 Saint Anne St Suite 100 Rapid City SD 57701-4694 |
| Practice Telephone | 6053488000 |
| Practice Fax Number | 6053484315 |
| Mailing Telephone | 6053488000 |
| Mailing Fax Number | 6053484315 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2015-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0244 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174888614 | Sheryl Patricia Jackson | Social Worker | 846 East 231st Street, Bronx, NY 10466 | 2012-07-11 |
| 1598044687 | Sheryl Swoopes Jackson | Durable Medical Equipment & Medical Supplies | 10764 S Gessner Dr, Houston, TX 77071-3509 | 2011-08-08 |
| 1619149085 | Sheryl L. Jackson | Audiologist | 963 Town Center Drive, Suite 100, Orange City, FL 32763-8254 | 2008-03-26 |
| 1871523308 | Sheryl R Jackson | Psychologist | 1215 Hall-johnson Rd, Ste 100, Colleyville, TX 76034 | 2006-07-03 |
| 1104214576 | Sheryl Jackson | Counselor | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2015-01-07 |
| 1841607207 | Sheryl Jackson | Counselor | 3003 Hospital Dr, Suite 025 - Ground Floor, Cheverly, MD 20785-1194 | 2014-07-17 |
| 1881020501 | Sheryl D Jackson | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2013-09-26 |
| Street Address |
636 SAINT ANNE ST SUITE 100 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-4694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514244 | Elizabeth Thorn | Counselor | 636 Saint Anne St, Suite 201, Rapid City, SD 57701-4694 | 2006-06-08 |
| 1700193158 | Diann Louise Habicht | Nurse Practitioner | 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 | 2010-09-07 |
| 1700192200 | Garry Psychiatric Counseling Services, LLC | Psychiatry & Neurology | 636 Saint Anne St, Rapid City, SD 57701-4694 | 2010-08-23 |
| 1013222157 | Jennifer Ann Erdman | Nurse Practitioner | 636 Saint Anne St, Rapid City, SD 57701-4694 | 2010-08-13 |
| 1134300973 | Gregory Howard, Ph.d., Csw-pip, Inc. | Social Worker | 636 Saint Anne St, Suite #101, Rapid City, SD 57701-4694 | 2007-11-20 |
| 1487796439 | Gregory Howard | Social Worker | 636 Saint Anne St, Ste #101, Rapid City, SD 57701-4694 | 2007-02-13 |
| 1619021672 | Stephen Paul Manlove | Psychiatry & Neurology | 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 | 2007-01-23 |
| 1538213541 | Kay Lynn Foland | Nurse Practitioner | 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 | 2007-01-23 |
| 1427077585 | Kyla A Helm-swanson | Family Medicine | 636 Saint Anne St, Rapid City, SD 57701 | 2006-07-19 |
| 1194756833 | Manlove Psychiatric Group, P.C. | Specialist | 636 Saint Anne St, Ste. 100, Rapid City, SD 57701-4694 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962858985 | Lac Castor Wellness, LLC | Nurse Practitioner | 3213 W Main St, Rapid City, SD 57702-2314 | 2016-05-09 |
| 1790102549 | Tracy V Romey | Nurse Practitioner | 636 St. Anne St., Ste. 100, Rapid City, SD 57701 | 2014-03-18 |
| 1700065208 | Marylou Mylant | Nurse Practitioner | 1011 11th St, Rapid City, SD 57701-3530 | 2007-10-31 |
| 1013222157 | Jennifer Ann Erdman | Nurse Practitioner | 636 Saint Anne St, Rapid City, SD 57701-4694 | 2010-08-13 |
| 1538213541 | Kay Lynn Foland | Nurse Practitioner | 636 Saint Anne St, Suite 100, Rapid City, SD 57701-4694 | 2007-01-23 |
| 1861462194 | Lisa Kautzman | Nurse Practitioner | 350 Elk St, Rapid City, SD 57701-7351 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037099 | Progressing Forward Medical and Mental Health Services LLC | Nurse Practitioner | 611 Old Agency Dr Unit 134b, Sisseton, SD 57262-7224 | 2019-05-01 |
| 1710266473 | Brenda Lenae Johnson | Nurse Practitioner | 306 4th St, Suite G, Brookings, SD 57006-1940 | 2011-08-12 |
| 1043444672 | Katherine Kilchmann Baltazar | Nurse Practitioner | 24276 166th Airport Rd, Eagle Butte, SD 57625-0476 | 2009-05-11 |
| 1598920738 | Amber Nicole Janis | Nurse Practitioner | E. Hwy 18, 4500 Hospital Drive, Pine Ridge Indian Health Service Hospital, Pine Ridge, SD 57770-1201 | 2008-07-28 |
| 1518021260 | Donna M. Linke | Nurse Practitioner | 39832 233rd St, Woonsocket, SD 57385-6522 | 2006-12-20 |
| 1437155132 | Family Institute of The Midwest | Nurse Practitioner | 520 W 22nd St, Sioux Falls, SD 57105-1702 | 2005-06-27 |
| 1790393825 | Anders Peterson | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-07-15 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| 1730705153 | Healing Spirit Psychiatry & Counseling | Nurse Practitioner | 39832 233rd St, Woonsocket, SD 57385-6522 | 2020-06-22 |
| 1568086064 | Kristen Naomi Hanzlik | Nurse Practitioner | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.