VIVIAN ELIZABETH JACKSON (NPI# 1336756600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336756600 |
| Entity Type | Individual |
| Full Name | VIVIAN ELIZABETH JACKSON |
| Practice Address |
1216 25th St N Birmingham AL 35234-3139 |
| Mailing Address |
Po Box 2722 Jasper AL 35502-2722 |
| Practice Telephone | 2052522994 |
| Practice Fax Number | 2052546076 |
| Mailing Telephone | 2052153761 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-062778 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922210210 | Vivian Ann Jackson | Social Worker | 5776 St. Augustine Rd., Child Guidance Center, Jacksonville, FL 32207 | 2007-05-07 |
| 1164804563 | Vivian Jackson | Student in an Organized Health Care Education/Training Program | 800 S Greathouse Dr, Atoka, OK 74525-3431 | 2015-06-22 |
| 1497167233 | Vivian Jackson | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-05-28 |
| Street Address |
1216 25TH ST N |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35234-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225549140 | Kathy Youngblood | Home Health | 1907 14th Ave N Apt 4b, Birmingham, AL 35234 | 2017-10-18 |
| 1154765568 | University of Alabama In Birmingham | General Acute Care Hospital | 619 S 19th Street, Birmingham, AL 35234 | 2013-04-29 |
| 1699722348 | Agatha I Asuru | Internal Medicine | 2401 15th Ave North, Birmingham, AL 35234 | 2006-05-28 |
| 1447210844 | Painsouth Inc | Pain Medicine | 1528 Carraway Blvd, Suite 402, Birmingham, AL 35234 | 2006-03-28 |
| 1295922649 | Pmc Gastroenterology Associates, PC | Internal Medicine | 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234 | 2007-10-01 |
| 1114119567 | Physician Medical Center, LLC | Family Medicine | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-08-09 |
| 1598972606 | Physicians Medical Center, LLC | Specialist | 1528 Carraway Blvd, Ste 202, Birmingham, AL 35234 | 2007-05-17 |
| 1457568594 | Physicians Medical Center, LLC | General Acute Care Hospital | 1600 Carraway Blvd, Birmingham, AL 35234 | 2007-05-17 |
| 1124231766 | Physicians Medical Center, LLC | Clinic/Center | 2401 15th Ave North, Birmingham, AL 35234 | 2007-05-08 |
| 1194826446 | Jeffrey Wurst | Emergency Medicine | 1600 Carraway Blvd, Emergency Department, Birmingham, AL 35234 | 2006-09-26 |
| Find all providers in zip 35234 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972146348 | Julie Bowen Atkinson | Nurse Practitioner | 2000 6th Ave S Ste 405, Birmingham, AL 35233-2110 | 2019-10-17 |
| 1497210587 | Keri Harris Barnett | Nurse Practitioner | St Vincent's East Medical, 50 Medical, Birmingham, AL 35235-3523 | 2019-02-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1215412952 | Emma Harms O'neal | Nurse Practitioner | 2700 Rogers Dr Ste 209, Birmingham, AL 35209-2056 | 2018-09-28 |
| 1487140976 | Bettina Sanders | Nurse Practitioner | 22 Inverness Center Pkwy, Birmingham, AL 35242-4814 | 2018-07-08 |
| 1154819910 | Asya Bianca Love | Nurse Practitioner | 817 Windover Rd, Birmingham, AL 35215-3923 | 2018-04-27 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1285158170 | Grace Anne Spencer | Nurse Practitioner | 817 Princeton Ave Sw Ste 308, Birmingham, AL 35211-1349 | 2017-08-01 |
| 1710423496 | Misty Foster | Nurse Practitioner | Uab Dept of Anesthesiology and Perioperative, 625 19th Street South Jt 845, Birmingham, AL 35249-6810 | 2017-01-18 |
| 1689121170 | Darla Higginbotham | Nurse Practitioner | 48 Medical Park Drive East, Suite 452, Birmingham, AL 35235-3404 | 2016-09-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35234 |
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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.