KATY JO JACKSON (NPI# 1427686765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427686765 |
| Entity Type | Individual |
| Full Name | KATY JO JACKSON |
| Credential | MD |
| Practice Address |
3901 Rainbow Blvd # Ms 1060 Kansas City KS 66160-8500 |
| Mailing Address |
1050 Berkley Pkwy Apt 344 Kansas City MO 64120-1481 |
| Practice Telephone | 9139457483 |
| Mailing Telephone | 8178752447 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3901 RAINBOW BLVD # MS 1060 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1023647336 | Levent Sahin | Anesthesiology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2020-04-07 |
| 1801425863 | Navneet S Hundal | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2020-04-02 |
| 1366070625 | David Michael Anson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2020-03-31 |
| 1336777184 | Charles Richard Walde | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2020-03-28 |
| 1467080325 | Clarissa Beth Smith | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2020-03-27 |
| 1194377655 | Amit Shrestha | Internal Medicine | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2019-07-15 |
| 1013470574 | Lawson Montgomery | Family Medicine | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2019-04-11 |
| 1770044950 | Erez Ronen Naggar | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2019-03-28 |
| 1245790294 | Patrick Chizek | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2019-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| 1396195194 | Brandon Carlisle | Internal Medicine | 4000 Cambridge St # Ms 1020, Kansas City, KS 66160 | 2016-06-13 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1174142640 | John Price | Student in an Organized Health Care Education/Training Program | 12806 Lathrop Ave, Kansas City, KS 66109-1003 | 2020-04-14 |
| 1104454396 | Bryan Clements | Student in an Organized Health Care Education/Training Program | 3940 Genessee St, Kansas City, MO 64111-4105 | 2020-04-01 |
| 1699302729 | Molly Bliss | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 | 2020-03-26 |
| 1205467578 | Tina Thanh Thuy Tran | Student in an Organized Health Care Education/Training Program | 5100 Grand Ave, Kansas City, MO 64112-2739 | 2020-01-27 |
| 1124659495 | Danni Gray | Student in an Organized Health Care Education/Training Program | 806 E 110th Ter, Kansas City, MO 64131-3543 | 2020-01-27 |
| 1841821113 | Shannon Rebecca Pulliam | Student in an Organized Health Care Education/Training Program | 3012 Charlotte St, Kansas City, MO 64109-1422 | 2020-01-27 |
| 1578194841 | Michael Peter Schooley | Student in an Organized Health Care Education/Training Program | 5414 N Mercier Ave, Kansas City, MO 64118-7821 | 2020-01-27 |
| 1023649399 | Jessica Hartzler | Student in an Organized Health Care Education/Training Program | 25 E 12th St Apt 1102, Kansas City, MO 64106-2342 | 2020-01-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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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.