RENEE JACKSON (NPI# 1376163774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376163774 |
| Entity Type | Individual |
| Full Name | RENEE JACKSON |
| Credential | RT |
| Practice Address |
325 9th Ave Seattle WA 98104-2499 |
| Mailing Address |
12528 22nd Street Ct E Edgewood WA 98372-1698 |
| Practice Telephone | 2067440133 |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979658 | Renee M Jackson | Counselor | 860 E 222nd St, Cleveland, OH 44123-3317 | 2018-10-31 |
| 1851888986 | Renee Jackson | Registered Nurse | 1603 Nandina Dr Apt 1424, Arlington, TX 76014-4244 | 2018-04-14 |
| 1417455502 | Renee Jackson | Technician | 3539 E Capitol St Se Apt 201, Washington, DC 20019-1212 | 2018-01-24 |
| 1275047524 | Renee Jackson | Massage Therapist | 9403 Rutherglen Dr, Dallas, TX 75227-4764 | 2017-11-24 |
| 1003392028 | Renee Camille Jackson | Behavioral Analyst | 6515 Holt Rd, Nashville, TN 37211-6903 | 2018-07-12 |
| 1437681590 | Renee Jackson | Behavior Technician | 329 E 149th St, 4th Floor, Bronx, NY 10451-5601 | 2017-03-29 |
| 1376963280 | Renee Jackson | Registered Nurse | 305 College St Ne, Lacey, WA 98516-5390 | 2014-04-17 |
| 1154628741 | Renee E Jackson | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2011-02-17 |
| Street Address |
325 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395743 | Judith Kay Glann | Nurse Practitioner | 325 9th Ave, Seattle, WA 98104-2420 | 2005-06-08 |
| 1720688427 | Angelo John Jamora | Advanced Practice Midwife | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-30 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
| 1184222739 | Kristi Griffing | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-10-15 |
| 1558968925 | Maeve Muldowney | Anesthesiology | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-07 |
| 1073128203 | Allison Engstrom | Social Worker | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-14 |
| 1376158501 | Vallie Jacobson | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-14 |
| 1801401187 | Leigh Anne Kalaman | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-13 |
| 1114532496 | Shayna Erickson | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-13 |
| 1144834698 | Tonya L Webb | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215160221 | Andrew John Leyva | Radiologic Technologist | 701 5th Ave Ste 213, Seattle, WA 98104-7033 | 2009-08-25 |
| 1255951661 | Genevieve Hill | Radiologic Technologist | 325 9th Ave, Seattle, WA 98104-2420 | 2020-04-26 |
| 1740800143 | Jennifer Kuang | Radiologic Technologist | 325 9th Ave, Seattle, WA 98104-2499 | 2020-04-26 |
| 1710312772 | Alma Miller | Radiologic Technologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508311366 | Ramanpreet Dhaliwal | Radiologic Technologist | 10615 Se 256th St, Ste 101, Kent, WA 98030-6809 | 2016-08-22 |
| 1013233782 | Scott A Yount | Radiologic Technologist | Msron Nine 2000 W Marine View Dr, Everett, WA 98207-0001 | 2010-04-20 |
| 1679610356 | Russ K Reynolds | Radiologic Technologist | 220 25th St Ne, East Wenatchee, WA 98802-4097 | 2007-01-31 |
| 1073985057 | Bryan James Antonius | Radiologic Technologist | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539 | 2015-10-29 |
| 1114060001 | Antoine Tahkeal | Radiologic Technologist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2007-02-14 |
| 1811043706 | Valley Mobile X-ray, Inc. | Radiologic Technologist | 308 N 6th Ave, Yakima, WA 98902-2114 | 2007-01-25 |
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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.