DR. DOROTHY LYN JACKSON (NPI# 1467661306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467661306 |
| Entity Type | Individual |
| Full Name | DR. DOROTHY LYN JACKSON |
| Credential | CNA |
| Practice Address |
1646 Elmira St Aurora CO 80010-2122 |
| Practice Telephone | 3036172656 |
| Practice Fax Number | 3036172832 |
| Mailing Telephone | 3036172656 |
| Mailing Fax Number | 3036172832 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 163103 | CO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407364169 | Dorothy Jean Jackson | Clinic/Center | 5151 Margo Dr, Las Vegas, NV 89122-6627 | 2018-01-16 |
| 1780094664 | Dorothy Jackson | Registered Nurse | 9689 Lynns Rd, Etna, OH 43062-8493 | 2014-05-01 |
| 1487950846 | Dorothy Mae Jackson | Community Health Worker | 310 Sw 99th St, Gainesville, FL 32607-1372 | 2011-02-02 |
| 1922071042 | Dorothy Louise Jackson | Family Medicine | 1114 W Bow St, Tyler, TX 75702-5137 | 2006-02-09 |
| 1174189773 | Dorothy Jackson | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-05-20 |
| 1629478417 | Dorothy Jackson | Counselor | 801 Douglas Ave, Altamonte Springs, FL 32714-5206 | 2014-08-28 |
| 1427392505 | Dorothy Octavia Jackson | Psychologist | 2002 Holcombe Blvd, Mhcl 116, Houston, TX 77030-4211 | 2012-11-15 |
| 1760789382 | Dorothy Elizabeth Jackson | Case Manager/Care Coordinator | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2011-02-16 |
| 1942521539 | Dorothy W Jackson | Social Worker | 1076 Main St, Suite 203, Fishkill, NY 12524-3606 | 2010-06-17 |
| 1568612851 | Dorothy Faye Jackson | Nurse Practitioner | 208 Nw 2nd St, Andrews, TX 79714-6308 | 2008-09-24 |
| Street Address |
1646 ELMIRA ST |
| City | AURORA |
| State | CO |
| Zip Code | 80010-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487738423 | Mara Jean Kailin | Psychologist | 1646 Elmira St, Aurora, CO 80010-2122 | 2006-10-25 |
| 1538716808 | Mckenzie Frances Hill | Social Worker | 1646 Elmira St, Aurora, CO 80010-2122 | 2019-08-21 |
| 1417434242 | Heather T Leffew | Counselor | 1646 Elmira St, Aurora, CO 80010-2122 | 2018-07-24 |
| 1962927863 | Maegan Sullivan | Student in an Organized Health Care Education/Training Program | 1646 Elmira St, Aurora, CO 80010-2122 | 2017-08-11 |
| 1396279972 | Ernestine Garcia Luna | Case Manager/Care Coordinator | 1646 Elmira St, Aurora, CO 80010-2122 | 2017-04-20 |
| 1306210695 | Angie Medina | Counselor | 1646 Elmira St, Aurora, CO 80010-2122 | 2015-11-24 |
| 1548632326 | David Thang | Community Health Worker | 1646 Elmira St, Aurora, CO 80010-2122 | 2015-10-20 |
| 1114396462 | Lindsey Rushing | Counselor | 1646 Elmira St, Aurora, CO 80010-2122 | 2015-09-16 |
| 1770961070 | Henriette Habimana | Case Manager/Care Coordinator | 1646 Elmira St, Aurora, CO 80010-2122 | 2015-05-07 |
| 1285027789 | Suaad Amin | Student in an Organized Health Care Education/Training Program | 1646 Elmira St, Aurora, CO 80010-2122 | 2015-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| Find all providers in zip 80010 | ||||
| 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 |
|---|---|---|---|---|
| 1043827827 | Jessica Paulette Flowers | Student in an Organized Health Care Education/Training Program | 23608 E Fremont Cir Unit 304, Aurora, CO 80016-2615 | 2020-09-25 |
| 1346859543 | Amandeep K Pentlia | Student in an Organized Health Care Education/Training Program | 13021 E 21st Ave, Aurora, CO 80045-7454 | 2020-07-24 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1902424062 | Janell Herrera | Student in an Organized Health Care Education/Training Program | 856 Columbia St, Aurora, IL 60505-2816 | 2020-07-06 |
| 1457978611 | David Immanuel Freeman Fountain | Student in an Organized Health Care Education/Training Program | 3697 S Cathay Cir, Aurora, CO 80013-3619 | 2020-07-02 |
| 1568087492 | Jimmy D Joseph | Student in an Organized Health Care Education/Training Program | 1290 Chambers Rd # 80011, Aurora, CO 80011-7117 | 2020-06-16 |
| 1013532811 | Jay Patrick Lewis | Student in an Organized Health Care Education/Training Program | 7009 S Netherland Way, Aurora, CO 80016-2347 | 2020-06-08 |
| 1649893546 | Megan Heman | Student in an Organized Health Care Education/Training Program | 23068 Lawrence 1200, Aurora, MO 65605-8252 | 2020-05-26 |
| 1689296915 | Rafael Martinez Perez | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave # 5001, Aurora, CO 80045-2527 | 2020-05-08 |
| 1790305704 | Evan Tkaczyk | Student in an Organized Health Care Education/Training Program | 3461 Saint Barthelemy Ln, Aurora, IL 60504-3120 | 2020-04-20 |
| Find all providers in AURORA | ||||
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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.