DOMINIQUE JACKSON (NPI# 1538629639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538629639 |
| Entity Type | Individual |
| Full Name | DOMINIQUE JACKSON |
| Practice Address |
1521 Gull Rd Kalamazoo MI 49048-1640 |
| Practice Telephone | 2692267000 |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081822 | Dominique Terence Jackson | Nurse Practitioner | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2019-03-12 |
| 1679000814 | Dominique Jackson | Nurse Practitioner | 2309 E 15th St, Panama City, FL 32405-6345 | 2017-05-18 |
| 1184164949 | Dominique Jackson | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2017-02-27 |
| Street Address |
1521 GULL RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033939 | Midwestern Pathology, PC | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2005-06-17 |
| 1164038667 | Emily Thurnherr | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-09-20 |
| 1578180899 | Ceara Elaina Sibley | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-07-02 |
| 1770108508 | Emily Krumbach | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-08 |
| 1700400686 | Emily Mccollum | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-05 |
| 1316568850 | Adraya Gabrielle Garrett | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-05-06 |
| 1114551272 | Brandy Lee Ford | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-27 |
| 1689206120 | Olivia Foote | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2020-02-12 |
| 1962035402 | Shannon Nicole Hepler | Registered Nurse | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-12 |
| 1346887130 | Bethany Paige Flanagan | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543723 | Brittany Nelson | Social Worker | 1940 Howard St Apt 537, Kalamazoo, MI 49008-1267 | 2020-09-20 |
| 1689284788 | Valerie Marie Mcnamara | Social Worker | 487 S Drake Rd Ste B, Kalamazoo, MI 49009-3236 | 2020-08-04 |
| 1932766136 | Christine Sue Heffron | Social Worker | 5360 Holiday Ter Ste 32, Kalamazoo, MI 49009-2126 | 2019-05-22 |
| 1013481084 | Natalie Louise White | Social Worker | 2525 Frederick Ave, Kalamazoo, MI 49008-2149 | 2019-01-14 |
| 1487127205 | Emily Betros | Social Worker | 4341 S Westnedge Ave Ste 2106, Kalamazoo, MI 49008-3286 | 2019-01-03 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1437699659 | Logan Stout | Social Worker | 1536 Gull Rd, Kalamazoo, MI 49048-1621 | 2017-03-07 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1881140879 | Amy Raterink | Social Worker | 414 S Burdick St Ste 200, Kalamazoo, MI 49007-6219 | 2016-08-30 |
| Find all providers in KALAMAZOO | ||||
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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.