TAMMY JACKSON (NPI# 1467990671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467990671 |
Entity Type | Individual |
Full Name | TAMMY JACKSON |
Credential | LLMSW |
Practice Address |
376 E Apple Ave Muskegon MI 49442-3466 |
Practice Telephone | 2313323802 |
Enumeration Date | 2017-02-08 |
Last Update Date | 2017-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6801100090 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972767994 | Tammy Jackson | Behavioral Analyst | 556 New Park Ave Ste A, West Hartford, CT 06110-1317 | 2008-07-18 |
1619958758 | Tammy Lynn Jackson | Psychologist | 4201 Whispering Creek Dr, College Station, TX 77845-4054 | 2005-11-07 |
1538567573 | Tammy M Jackson | Licensed Practical Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2014-12-08 |
1235294018 | Tammy J Jackson | Psychologist | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-12-22 |
1093736720 | Tammy S Jackson | Nurse Practitioner | 300 20th Ave N, Ste 301, Nashville, TN 37203-2131 | 2006-07-21 |
1497783146 | Tammy T. Jackson | Emergency Medicine | 2525 Desales Avenue, Chattanooga, TN 37404 | 2006-06-30 |
1558345371 | Tammy Z Jackson | Nurse Practitioner | 716 S Main St, Ripley, MS 38663-2909 | 2005-12-05 |
1275533366 | Tammy L. Jackson | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2005-07-29 |
Street Address |
376 E APPLE AVE |
City | MUSKEGON |
State | MI |
Zip Code | 49442-3466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306824321 | Gerald Nicholas Schmuker | Psychiatry & Neurology | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2006-01-09 |
1275130346 | Alexandra Kloeppner | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-10-02 |
1376155283 | Coffey Penn | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-08-21 |
1093327405 | Kayla Jayne Sabo | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-08-18 |
1124636931 | Norman Kittleson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-07-17 |
1538784475 | Sarah Anne Soyars | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-16 |
1750906491 | Kimberley Davis | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-09 |
1043834187 | Heidi Marie Campbell | Community Health Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-06-04 |
1013530369 | Richard Alan Versalle | Case Manager/Care Coordinator | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-21 |
1437772720 | Jessica Kay Jennings | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
Find all providers in zip 49442 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093253734 | Lori Toman | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2017-02-02 |
1194262154 | Consuelo Crews | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2017-01-27 |
1760929947 | Amy Ford | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2017-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
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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.