MRS. RACHEL MOORE JACKSON (NPI# 1619038395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619038395 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL MOORE JACKSON |
| Credential | APN |
| Practice Address |
2020 W Harrison St Chicago IL 60612-3741 |
| Practice Telephone | 3125724554 |
| Practice Fax Number | 3125724559 |
| Mailing Telephone | 3125724554 |
| Mailing Fax Number | 3125724559 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794019 | Rachel Jackson | Social Worker | 12410 Roy Rd, Pearland, TX 77581-7988 | 2020-06-11 |
| 1922645142 | Rachel Jackson | Nurse Practitioner | 2502 Side Cv, Austin, TX 78704-4533 | 2019-12-06 |
| 1407365687 | Rachel Jackson | Case Manager/Care Coordinator | 3015 E. Skelly Dr, Suite 103, Tulsa, OK 74105-6344 | 2017-09-20 |
| 1710428826 | Rachel Jackson | Behavior Technician | 3256 Sky View Dr, Box 4323, West Wendover, NV 89883-3659 | 2017-03-09 |
| 1821392648 | Rachel M Jackson | Chore Provider | 842 N 17th St, Allentown, PA 18104-4151 | 2011-01-09 |
| 1235747999 | Rachel Renee Jackson | Registered Nurse | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2020-07-20 |
| 1023632411 | Rachel Renee Jackson | Behavior Technician | 439 W Harris Ave, San Angelo, TX 76903-6392 | 2020-06-02 |
| 1992266571 | Rachel Jackson | Speech-Language Pathologist | 4700 Massillon Rd, North Canton, OH 44720-1166 | 2019-03-27 |
| 1104392695 | Rachel Ruth Jackson | Physical Therapy Assistant | 3000 Galloway Rdg, Pittsboro, NC 27312-8639 | 2018-10-23 |
| 1023591047 | Rachel M. Jackson | Behavior Technician | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-09-14 |
| Street Address |
2020 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376515379 | Lauren Foster | Nurse Practitioner | 2020 W Harrison St, Chicago, IL 60612-3741 | 2006-02-03 |
| 1407468093 | Ellen Zoe Sanders | Physician Assistant | 2020 W Harrison St, Chicago, IL 60612-3741 | 2020-08-17 |
| 1922618594 | Althea Moore | Dental Hygienist | 2020 W Harrison St, Chicago, IL 60612-3741 | 2020-08-07 |
| 1366073256 | Cook County | Family Medicine | 2020 W Harrison St, Chicago, IL 60612-3741 | 2020-01-29 |
| 1184289779 | Christopher L Wilson | Social Worker | 2020 W Harrison St, Chicago, IL 60612-3741 | 2019-05-08 |
| 1861984940 | Jessica Arroyo Ortiz | Counselor | 2020 W Harrison St, Chicago, IL 60612-3741 | 2018-06-04 |
| 1740781897 | Deirdre Michelle Kemp | Counselor | 2020 W Harrison St, Chicago, IL 60612-3741 | 2018-02-23 |
| 1245751734 | Ixchell Yanet Ortiz Estes | Nurse Practitioner | 2020 W Harrison St, Chicago, IL 60612-3741 | 2017-07-05 |
| 1316485113 | Kimberly A Koralewski | Counselor | 2020 W Harrison St, Chicago, IL 60612-3741 | 2017-02-01 |
| 1346796711 | Marisol Consignado | Pharmacist | 2020 W Harrison St, Chicago, IL 60612-3741 | 2016-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
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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.