ROSA JACKSON


Address: 2150 Stockton Blvd, Sacramento, CA 95817-1337
Phone: 9168751065

ROSA JACKSON (NPI# 1609249473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist 4191-T CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ROSA JACKSON

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

Office Location

Street Address 2150 STOCKTON BLVD
City SACRAMENTO
State CA
Zip Code 95817-1337

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City SACRAMENTO
Zip Code 95817

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Dataset Information

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.

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