ROSA JACKSON (NPI# 1609249473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609249473 |
Entity Type | Individual |
Full Name | ROSA JACKSON |
Practice Address |
2150 Stockton Blvd Sacramento CA 95817-1337 |
Practice Telephone | 9168751065 |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | 4191-T | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700034287 | Rosa Lee Jackson | Licensed Vocational Nurse | 547 Summit Ave, Baldwin, NY 11510-3725 | 2008-09-09 |
1770004939 | Rosa Jackson | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2017-06-28 |
Street Address |
2150 STOCKTON BLVD |
City | SACRAMENTO |
State | CA |
Zip Code | 95817-1337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336100171 | Richard A Cross | Psychiatry & Neurology | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2006-03-31 |
1427657477 | Brandy Russell | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-10-21 |
1710591250 | Mary Joy Gigaquit Hyatt | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-09-02 |
1295345478 | Felicia Ann Facio | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-08-03 |
1982213864 | Simranjot Kaur Sidhu | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-28 |
1881202141 | Ferdinand Garcia | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-22 |
1548885569 | Sara Crosby | Licensed Practical Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-06-15 |
1700409539 | Cortney S Clark | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-05-27 |
1063032076 | Jazmin Franco | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-20 |
1447889688 | Wilfredo Ranit Escartin Jr. | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
Find all providers in zip 95817 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881138949 | Askia T.k Umoja | Recreation Therapist | 3700 Watt Ave, Apt #18, Sacramento, CA 95821-2600 | 2016-12-08 |
1235655564 | Janelle Marie Hernandez | Recreation Therapist | 2008 Morse Ave, Sacramento, CA 95825-2135 | 2017-08-18 |
1508182643 | Maria Navidad Loya | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2010-04-14 |
1144455320 | Heather Ann Wright | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2009-05-18 |
1659519882 | Brynn Carolyn Twibell | Recreation Therapist | 9261 Folsom Blvd, Suite 500, Sacramento, CA 95826-2561 | 2009-01-26 |
1407092588 | Cassandra Kays | Recreation Therapist | 4000 Branch Center Rd, Sacramento, CA 95827-3831 | 2008-12-19 |
1710166376 | Craig Richard Brandum | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-10-31 |
1306962394 | Carrie A Gagnebin | Recreation Therapist | 4000 Branch Center Rd, Sacramento, CA 95827 | 2007-03-21 |
1538283080 | Rigo Quintanilla | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-03-19 |
1225152168 | Christel Aileen Potts | Recreation Therapist | 9601 Kiefer Blvd, Sacramento, CA 95827-3818 | 2007-03-17 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95817 |
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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.