TIMOTHY JACKSON (NPI# 1336634641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336634641 |
| Entity Type | Individual |
| Full Name | TIMOTHY JACKSON |
| Credential | MSW |
| Practice Address |
3820 Nine Mile Rd Richmond VA 23223-4831 |
| Mailing Address |
Po Box 23120 Richmond VA 23223-0420 |
| Practice Telephone | 8043436500 |
| Mailing Telephone | 8043436500 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124338504 | Timothy Lawrence Jackson | Physician Assistant | 2722 N Mariah Way, Flagstaff, AZ 86004-7550 | 2010-10-19 |
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1982623625 | Timothy L Jackson | Physician Assistant | 5249 Providence Rd, Virginia Beach, VA 23464-4201 | 2006-07-19 |
| 1093710089 | Timothy D Jackson | Orthopaedic Surgery | 12080 New Orleans Ave N, Gulfport, MS 39503-3180 | 2005-06-16 |
| 1710473368 | Timothy Jackson | Registered Nurse | 1644 Central Ave, Mckinleyville, CA 95519-4342 | 2018-07-06 |
| 1538512520 | Timothy Jackson | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2016-07-14 |
| 1538485396 | Timothy William Jackson | Counselor | 115 Liberty St, Bath, NY 14810-1508 | 2010-04-19 |
| 1598997751 | Timothy William Jackson | Physical Therapist | 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 | 2009-08-20 |
| 1679704001 | Timothy D Jackson | Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2009-08-03 |
| Street Address |
3820 NINE MILE RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730471392 | Kathryn Louise Saks | Occupational Therapist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2011-05-13 |
| 1245872076 | Lindsey Taylor Bauserman | Psychologist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2019-10-14 |
| 1467931758 | Amy Dineen Porner | Psychologist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-08-08 |
| 1639662992 | Mary B Finley | Speech-Language Pathologist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-06-12 |
| 1649763228 | Erin Callahan | Social Worker | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-06-08 |
| 1922598887 | Angela Metz-white | Social Worker | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-05-16 |
| 1073003133 | Jill Staffenberg | Speech-Language Pathologist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-05-15 |
| 1073002226 | Elane Ellis | Psychologist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-05-03 |
| 1952890063 | Karen Adams Carter | Speech-Language Pathologist | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-05-03 |
| 1679078711 | Autumn Shrock | Social Worker | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114401841 | Lori Brooks | Social Worker | 4314 Crutchfield St, Richmond, VA 23225-4700 | 2018-09-19 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1205329919 | Jaymes Elizabeth Whitehead-urquhart | Social Worker | 4319 Old Brook Rd, Richmond, VA 23227-3804 | 2018-06-08 |
| 1942792486 | Charlene Brown | Social Worker | 2020 Westwood Ave, Richmond, VA 23230-4115 | 2018-05-31 |
| 1154813848 | Lisa D Mullens-jennings | Social Worker | 3817 Chamberlayne Ave, Richmond, VA 23227-4139 | 2018-05-30 |
| 1093206088 | Christina Sherelle Bowman-peterson | Social Worker | 2300 First Avenue, Richmond, VA 23222 | 2018-05-24 |
| 1710478938 | Thomas Edward Gillespie | Social Worker | 119 W Leigh St, Richmond, VA 23220-3210 | 2018-05-23 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1689170011 | Carmenta Clark | Social Worker | 2401 Hartman St # F, Richmond, VA 23223-2458 | 2018-04-04 |
| 1134736549 | Neptina Paythress | Social Worker | 301 N 9th St, Richmond, VA 23219-1933 | 2020-09-29 |
| Find all providers in RICHMOND | ||||
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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.