MS. DOROTHY HELEN JACKSON (NPI# 1568543056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568543056 |
| Entity Type | Individual |
| Full Name | MS. DOROTHY HELEN JACKSON |
| Credential | RN |
| Practice Address |
12440 Imperial Hwy 116 Norwalk CA 90650-3177 |
| Mailing Address |
1267 Pepperwood Ct Carson CA 90746-7448 |
| Practice Telephone | 8008547771 |
| Mailing Telephone | 3106321708 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN214999 | CA | Nursing Service Providers |
| 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 |
12440 IMPERIAL HWY 116 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268220 | Victor Guillermo Sanchez | Counselor | 12440 Imperial Hwy, Mental Health Trailer, Norwalk, CA 90650-3177 | 2006-10-12 |
| 1518515485 | Kenechi Omar Okoli | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2019-09-03 |
| 1831642891 | Timica Collins | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2016-07-26 |
| 1942650833 | Ezequiel Rendon IIi | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2016-06-21 |
| 1689024226 | Armine Terteryan | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2016-06-14 |
| 1861841181 | Randall Cox Jr. | Case Manager/Care Coordinator | 12440 Imperial Hwy, Suite 116, Norwalk, CA 90650-3177 | 2016-06-07 |
| 1609224351 | Jessica Ahn | Case Manager/Care Coordinator | 12440 Imperial Hwy, 116, Norwalk, CA 90650-3177 | 2016-06-02 |
| 1215381389 | Karen Tu | Case Manager/Care Coordinator | 12440 Imperial Hwy, Suite 116, Norwalk, CA 90650-3177 | 2016-04-14 |
| 1609231554 | Lorenza Stewart | Licensed Psychiatric Technician | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2015-12-18 |
| 1124499272 | Esperanza Sanchez | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891266581 | Darnell Jay Santos Ferrer | Registered Nurse | 14732 Elaine Ave, Norwalk, CA 90650-5913 | 2018-12-06 |
| 1063770204 | Olga Jane C Bantigue | Registered Nurse | 12238 Everest St, Norwalk, CA 90650-2030 | 2012-04-25 |
| 1912485251 | Julie Lynn Moyer | Registered Nurse | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2018-07-30 |
| 1942700430 | Cristal Analisa Sampson | Registered Nurse | 64 Wall St Ste 306, Norwalk, CT 06850-3403 | 2018-02-20 |
| 1568700169 | Kathy Ann Loparo | Registered Nurse | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2013-01-17 |
| 1053612572 | Dorina Rocha | Registered Nurse | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2010-11-15 |
| 1942512611 | Dimetrius Lamont Ferrell | Registered Nurse | 12440 Imperial Hwy Ste 116, Norwalk, CA 90650-8347 | 2010-07-09 |
| 1023346913 | Michele Lynn Ott | Registered Nurse | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2009-12-03 |
| 1144351123 | Joanne Randolph | Registered Nurse | 12440 Imperial Hwy Ste 116, Norwalk, CA 90650-8347 | 2007-03-08 |
| 1952491326 | Irene Kietbin Luu | Registered Nurse | 12440 Imperial Hwy Ste 116, Norwalk, CA 90650-8347 | 2006-10-13 |
| Find all providers in NORWALK | ||||
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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.