DR. AMANDA JACKSON (NPI# 1437370582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437370582 |
| Entity Type | Individual |
| Full Name | DR. AMANDA JACKSON |
| Credential | D.D.S. |
| Practice Address |
27081 185th Ave Se Ste B105 Covington WA 98042-8448 |
| Practice Telephone | 2539814950 |
| Practice Fax Number | 2539814952 |
| Mailing Telephone | 2539814950 |
| Mailing Fax Number | 2539814952 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 54679 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
8846 | KY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE 60447313 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1730692765 | Amanda Lyn Jackson | Occupational Therapist | 2222 S Rockport Rd, Boonville, IN 47601-7926 | 2017-11-13 |
| 1982143467 | Amanda Jackson | Occupational Therapist | 5305 Reserve Dr Ne, Brookhaven, GA 30319-5924 | 2017-02-17 |
| 1528309473 | Amanda Nicole Jackson | Licensed Practical Nurse | 923 Cottage Ave, Miamisburg, OH 45342-1805 | 2013-03-01 |
| 1013254887 | Amanda Meister Jackson | Pharmacist | 10358 Riverside Dr Ste 140, Palm Beach Gardens, FL 33410-4203 | 2013-01-13 |
| 1285905240 | Amanda Jackson | Occupational Therapist | 1760 Turning Leaf Trl, Haughton, LA 71037-9531 | 2012-01-23 |
| 1245368661 | Amanda L Jackson | Physical Therapist | 17 Carlton Rd, Hutchinson, KS 67502-4423 | 2007-02-28 |
| 1861452112 | Amanda Elizabeth Jackson | Occupational Therapist | 121 Cox St, Benton, AR 72015-4611 | 2006-03-23 |
| 1437763638 | Amanda Jackson | Pharmacist | 7301 Theodore Dawes Rd, Theodore, AL 36582-4029 | 2020-09-04 |
| 1205460045 | Amanda Jackson | Registered Nurse | 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 | 2020-03-02 |
| Street Address |
27081 185TH AVE SE STE B105 |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-8448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703702 | Sofia D. Petrov | Dentist | 27081 185th Ave Se, Suite B-105, Covington, WA 98042-8448 | 2006-11-07 |
| 1225581176 | Ryan Hanks | Dentist | 27081 185th Ave Se, B105, Covington, WA 98042-8448 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1790252138 | John Michael Freihaut | Dentist | 4139 Baker St Ne Ste 15, Covington, GA 30014-1409 | 2018-10-24 |
| 1770078503 | Michael Benjamin Hampton | Dentist | 9164 Dr M L King Jr Ave, Covington, GA 30014-8710 | 2018-06-25 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1194100016 | Kelsey M Thompson | Dentist | 720 W Sherrod Ave, Covington, TN 38019-3024 | 2015-07-21 |
| 1205264330 | Bright Smile Dental Clinic LLC | Dentist | 229 N Monroe Ave, Covington, VA 24426-1409 | 2013-10-29 |
| 1902188824 | Richard Roe Nelson | Dentist | 24105 184th Ave Se, Covington, WA 98042-4896 | 2011-09-16 |
| 1376831073 | Reese Family Dentistry | Dentist | 973 Highway 51 N, Suite 7, Covington, TN 38019-1594 | 2011-07-14 |
| 1588951412 | Northwest Family Dental Care Covington, Pllc | Dentist | 27081 185th Ave Se # B-105, Covington, WA 98042-8448 | 2011-06-29 |
| 1104146208 | Jenna Warlick Graham | Dentist | 1005 Avenue Saint Germain, Covington, LA 70433-6440 | 2010-06-11 |
| Find all providers in COVINGTON | ||||
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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.