TEGAN JACKSON (NPI# 1497217343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497217343 |
| Entity Type | Individual |
| Full Name | TEGAN JACKSON |
| Practice Address |
1823 Francis Ave Se Grand Rapids MI 49507-2418 |
| Mailing Address |
2814 Woodcliff Cir Se Grand Rapids MI 49506-3155 |
| Practice Telephone | 6168812791 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1823 FRANCIS AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1710442256 | Nancy Higgins | Technician, Other | 4031 Woodland Creek Dr Se Apt 204, Grand Rapids, MI 49512-8330 | 2019-02-08 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1891236626 | Laura Weatherell | Technician, Other | 1192 Edna St Se, Grand Rapids, MI 49507-3707 | 2017-03-13 |
| 1093251696 | Cindy Boersema | Technician, Other | 2184 Woodcliff Ave Se, Grand Rapids, MI 49546-5711 | 2017-01-06 |
| 1669916987 | Andria K Zwerk | Technician, Other | 323 Manzana Ct Nw, 1c, Grand Rapids, MI 49534-8430 | 2016-12-05 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1821548439 | Lyla Whitney | Technician, Other | 2017 Edgewood Ave Ne, Grand Rapids, MI 49505-4217 | 2016-10-06 |
| 1194275818 | Jacqueline Freeney | Technician, Other | 1035 White Ave Nw, Grand Rapids, MI 49504-4003 | 2016-10-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on TEGAN JACKSON.
| 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.