ALEXANDRA TAYLOR JACKSON (NPI# 1376026864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376026864 |
| Entity Type | Individual |
| Full Name | ALEXANDRA TAYLOR JACKSON |
| Practice Address |
500 E Chestnut Ave Altoona PA 16601-5215 |
| Practice Telephone | 8149407450 |
| Mailing Telephone | 8149407450 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100861 | Alexandra Tatiana Jackson | Counselor | 1332 Elmira St, Aurora, CO 80010-3215 | 2018-07-05 |
| 1487158044 | Alexandra L Jackson | Chiropractor | 20 W Canal St Apt 221, Winooski, VT 05404-2133 | 2018-03-20 |
| 1720472400 | Alexandra Megan Jackson | Nurse Practitioner | 6301 Herndon Road, Durham, NC 27713 | 2015-03-20 |
| 1548384662 | Alexandra Sharon Jackson | Social Worker | 3231 Bixby Way, Stockton, CA 95209-1573 | 2007-03-16 |
| 1285983759 | Alexandra Jackson | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2012-08-30 |
| Street Address |
500 E CHESTNUT AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790856656 | Upmc Behavioral Health of The Alleghenies | Community/Behavioral Health | 500 E Chestnut Ave, Adult Partial Program, Altoona, PA 16601-5215 | 2006-11-13 |
| 1588294052 | Brenda Marie Sanner | Social Worker | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2020-01-23 |
| 1619515566 | Lynette Renee Matley | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-12-11 |
| 1841832276 | Keith Lewis Shawley | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-10-17 |
| 1659928869 | Thomas Lee Plummer | Peer Specialist | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-08-22 |
| 1528614252 | Jennie Anne White | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-08-19 |
| 1396302543 | Allison Friday | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-05-23 |
| 1033677547 | Jamie Alyssa Focht | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-03-05 |
| 1598222804 | Crystal Kay Grant | Social Worker | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-02-22 |
| 1457824336 | Caroline Flegal | Peer Specialist | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326405440 | Jessica Marie Aldrich | Counselor | 607 8th St Sw Ste A, Altoona, IA 50009-2315 | 2016-01-20 |
| 1811321045 | Michael Robert Geishauser | Counselor | 501 Howard Ave Ste F2, Altoona, PA 16601-4818 | 2013-08-23 |
| 1841832276 | Keith Lewis Shawley | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-10-17 |
| 1396302543 | Allison Friday | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-05-23 |
| 1033677547 | Jamie Alyssa Focht | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-03-05 |
| 1528541703 | Jolene Mcconnell | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-09-13 |
| 1750876140 | Matthew Moschella | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-06-27 |
| 1528317658 | Deborah Ann Moore | Counselor | 1512 12th Ave, Altoona, PA 16601-3312 | 2012-09-05 |
| 1801977962 | Lester Irwin Weiss | Counselor | 2907 Pleasant Valley Boulevard, James E. Van Zandt Medical Center, Altoona, PA 16602-4377 | 2006-10-17 |
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|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
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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.