ELIZABETH KATNER JACKSON (NPI# 1427183391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427183391 |
| Entity Type | Individual |
| Full Name | ELIZABETH KATNER JACKSON |
| Practice Address |
2200 University Ave W Ste 160 Saint Paul MN 55114-1841 |
| Mailing Address |
1314 Minnehaha Ave W Saint Paul MN 55104-1408 |
| Practice Telephone | 6519173634 |
| Practice Fax Number | 6519173620 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1649694233 | Elizabeth Arlene Jackson | Counselor | 922 12th St, Rawlins, WY 82301-6517 | 2014-02-18 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| Street Address |
2200 UNIVERSITY AVE W STE 160 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205971611 | Matthew John Johnson | Technician | 2200 University Ave W Ste 160, Saint Paul, MN 55114-1841 | 2007-02-21 |
| 1780872572 | George Morara | Technician | 2200 University Ave W Ste 160, Saint Paul, MN 55114-1841 | 2007-10-05 |
| 1053518571 | Jennifer Elena Darling | Technician | 2200 University Ave W Ste 160, Saint Paul, MN 55114-1841 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861845281 | Samuel Nwanekpe | Technician | 1821 University Ave W Ste S348, Saint Paul, MN 55104-2876 | 2016-07-20 |
| 1013306943 | Tommy Vang | Technician | 1088 Rice St Ste B, Saint Paul, MN 55117-2906 | 2015-01-15 |
| 1427224401 | Mi Yer Vang | Technician | 594 Earl St, Saint Paul, MN 55106-5236 | 2008-04-30 |
| 1457523821 | Tong Moua | Technician | 379 University Ave W, Saint Paul, MN 55103-2000 | 2008-03-26 |
| 1568634939 | Pang Thao | Technician | 379 University Ave W Ste 214, Saint Paul, MN 55103-2060 | 2008-03-26 |
| 1831371582 | Mai Lo Her | Technician | 432 Michigan St, Saint Paul, MN 55102-2921 | 2007-12-04 |
| 1952583700 | Pa Nhia Vang | Technician | 1453 Cumberland St, Saint Paul, MN 55117-3593 | 2007-12-04 |
| 1194912501 | Kay Ying Khang | Technician | 727 Conway St, Saint Paul, MN 55106-5507 | 2007-09-29 |
| 1386831915 | Pao Ge Lee | Technician | 900 Sherburne Ave, Saint Paul, MN 55104-2603 | 2007-09-27 |
| 1811191430 | Der Lee | Technician | 370 Hatch Ave, Saint Paul, MN 55117-5125 | 2007-06-14 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on ELIZABETH KATNER JACKSON.
| 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.