MRS. KATHLEEN LUX JACKSON (NPI# 1629264759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629264759 |
Entity Type | Individual |
Full Name | MRS. KATHLEEN LUX JACKSON |
Credential | RN |
Practice Address |
2894 Komaia Pl Honolulu HI 96822-1745 |
Practice Telephone | 8089886118 |
Mailing Telephone | 8089886118 |
Enumeration Date | 2007-09-21 |
Last Update Date | 2007-09-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
14560 | HI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427699685 | Kathleen Jackson | Technician | 3788 Jackson Community Rd, Vernon, FL 32462-3440 | 2019-09-30 |
1508015421 | Kathleen Jackson | Licensed Practical Nurse | 188 Lovering Ave, Buffalo, NY 14216-1814 | 2008-09-16 |
1508964347 | Kathleen Jackson | Registered Nurse | 7702 W Thurston Ave, Milwaukee, WI 53218 | 2006-09-20 |
1073619037 | Kathleen J. Jackson | Nurse Practitioner | 1001 F Lincoln Drive, West, Cooper Familyl Medicine PC, Marlton, NJ 08053-1915 | 2006-09-16 |
1548236029 | Kathleen Anne Jackson | Internal Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-02-24 |
1538720305 | Kathleen Celeste Jackson | Pharmacist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2019-06-24 |
1801323993 | Kathleen Marie Jackson | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2017-05-19 |
1356893689 | Kathleen Anne Jackson | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2016-11-03 |
1720496326 | Kathleen Grace Jackson | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-07-27 |
1699108209 | Kathleen Adele Jackson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2013-08-19 |
Street Address |
2894 KOMAIA PL |
City | HONOLULU |
State | HI |
Zip Code | 96822-1745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
Find all providers in zip 96822 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699242800 | Stacey Fusako Onaga | Registered Nurse | 1329 Lusitana St Ste B5, Honolulu, HI 96813-2401 | 2018-10-25 |
1861778805 | Teresa Louise Brink Wong | Registered Nurse | 1319 Punahou St Ste 540, Honolulu, HI 96826-1046 | 2011-10-21 |
1194191908 | Reid Kawakami | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2015-08-15 |
1700187523 | Grace Gagala Schonhardt | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2010-11-10 |
1760705248 | Brenda Abbotnakandakari | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2010-03-11 |
1154557395 | Jane K Kadohiro | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2009-06-02 |
1538344916 | Jane J Pelkey | Registered Nurse | 952 N King St, Honolulu, HI 96817-4556 | 2008-01-04 |
1942489679 | Claire K Kamimura | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-10-30 |
1720142862 | Mona S Brack | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2006-12-21 |
1861556912 | Marie B Robello | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2006-12-21 |
Find all providers in HONOLULU |
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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.