AMI RYNAE JACKSON (NPI# 1477820173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477820173 |
Entity Type | Individual |
Full Name | AMI RYNAE JACKSON |
Credential | CRNP |
Practice Address |
969 Greentree Rd Suite 100 Pittsburgh PA 15220-3328 |
Practice Telephone | 4129208165 |
Practice Fax Number | 4129208162 |
Mailing Telephone | 4129208165 |
Mailing Fax Number | 4129208162 |
Enumeration Date | 2011-11-23 |
Last Update Date | 2012-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
0001233148 | VA | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP009725 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326570383 | Ami Jackson | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-03-29 |
1134417348 | Ami Lin Jackson | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2011-07-21 |
Street Address |
969 GREENTREE RD SUITE 100 |
City | PITTSBURGH |
State | PA |
Zip Code | 15220-3328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205836715 | Mary L Zervos | Pediatrics | 969 Greentree Rd, Pittsburgh, PA 15220-3303 | 2005-07-26 |
1538792338 | Upmc Community Mediine, Inc | Internal Medicine | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2020-02-20 |
1356824213 | Jasmine Nicole Wilson | Internal Medicine | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2018-09-07 |
1235619230 | Darci Michelle Ellsworth | Social Worker | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2018-08-19 |
1184089179 | Heather Clegg | Physical Therapist | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2015-12-18 |
1457725491 | Jessica Rizk | Counselor | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2015-11-13 |
1801209648 | Andrew Harkins | Physical Therapist | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2014-06-10 |
1568891216 | Samantha Ann Esposito | Family Medicine | 969 Greentree Rd, Suite 102, Pittsburgh, PA 15220 | 2013-11-04 |
1245508373 | Laurana Gatti | Counselor | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2011-12-04 |
1972884831 | Aaron Christopher Thomas | Physical Therapist | 969 Greentree Rd, Pittsburgh, PA 15220-3328 | 2011-09-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770066565 | Ellen Gross | Music Therapist | 750 Holiday Drive, Suie 110, Foster Plaza #9, Pittsburgh, PA 15220 | 2018-09-08 |
1487162251 | Sonya Lynn Rymarchyk | Registered Nurse | 736 Robinwood Drive, Pittsburgh, PA 15220 | 2018-01-16 |
1982087094 | Elon Mwaura | Physician Assistant | 400- T5 Camelot Ct, Pittsburgh, PA 15220 | 2015-07-07 |
1790053718 | Western Pennsylvania Health System | General Acute Care Hospital | 934 Chathma Park Drive, Pittsburgh, PA 15220 | 2011-12-05 |
1174808398 | Internal Medicine | Non-Pharmacy Dispensing Site | 24 Doctors Lane, 201, Pittsburgh, PA 15220 | 2011-10-19 |
1861787004 | Casey Lynn Callender | Counselor | 68 Wabash Street, Pittsburgh, PA 15220 | 2011-06-16 |
1891023719 | Arlyn D. Wasco | Nurse Practitioner | Evergreen Heights Drive, Suite 312, Pittsburgh, PA 15220 | 2009-12-04 |
1598980807 | Christine Ramos Dario | Counselor | 1705 Maple Street, Suite B3, Homestead, PA 15220 | 2007-04-13 |
1538282322 | Sulochana Pradhan | Pathology | 875 Greentree Rd 4 Parkway Ctr, Quest Diagnostics, Pittsburgh, PA 15220 | 2007-04-09 |
1811015316 | Edward Molyneaux | Physical Therapist | 179 Arla Dr, Pittsburgh, PA 15220 | 2007-03-26 |
Find all providers in zip 15220 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
1659826436 | Cynthia Mcquaide | Nurse Practitioner | 111 9th St, Pittsburgh, PA 15222-3605 | 2016-08-22 |
1841661386 | Rachael Brozewicz | Nurse Practitioner | 209 Biddle Ave, Apt 1, Pittsburgh, PA 15221-3433 | 2015-10-09 |
1295082071 | Kathleen Crisanti | Nurse Practitioner | 653 Aljo Dr, Pittsburgh, PA 15241-2010 | 2012-08-10 |
1902920549 | Mary Kathleen Kelly | Nurse Practitioner | 4221 Penn Ave, Pittsburgh, PA 15224-1307 | 2007-03-19 |
1811039779 | Jean Elizabeth Roemer | Nurse Practitioner | 3705 Fifth Ave., Pittsburgh, PA 15213 | 2007-02-13 |
1144366691 | Margaret Susan Hannan | Nurse Practitioner | 5324 Penn Ave, Pittsburgh, PA 15224-1733 | 2007-01-30 |
1780742569 | Beth A Windsor | Nurse Practitioner | Children's Hospital of Pgh 3705 Fifth Ave, Hematology Floor 4b, Pittsburgh, PA 15213-2583 | 2006-12-05 |
1881766624 | Janice Carol Maker | Nurse Practitioner | 300 Liberty Ave, 514 State Office Building, Pittsburgh, PA 15222-1210 | 2006-11-15 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15220 |
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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.