MICHELENE JACKSON (NPI# 1679565394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679565394 |
Entity Type | Individual |
Full Name | MICHELENE JACKSON |
Credential | PA |
Practice Address |
3292 Peoria St Aurora CO 80010-1517 |
Mailing Address |
3701 S Broadway Englewood CO 80113-3611 |
Practice Telephone | 3033606276 |
Practice Fax Number | 3034675355 |
Mailing Telephone | 3033606276 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2016-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA.0000444 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3292 PEORIA ST |
City | AURORA |
State | CO |
Zip Code | 80010-1517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790322394 | Metro Community Provider Network, Inc. | Clinic/Center | 3292 Peoria St, Aurora, CO 80010-1517 | 2019-12-03 |
1679123814 | Joy Linda Schumacher | Registered Nurse | 3292 Peoria St, Aurora, CO 80010-1517 | 2019-09-19 |
1417429655 | Sherry Javadi | Dental Hygienist | 3292 Peoria St, Aurora, CO 80010-1517 | 2018-12-28 |
1003388331 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 3292 Peoria St, Aurora, CO 80010-1517 | 2018-12-27 |
1285112193 | Autumn Elizabeth Hundermark | Registered Nurse | 3292 Peoria St, Aurora, CO 80010 | 2018-08-02 |
1881107993 | Thomas Theodore Deem | Registered Nurse | 3292 Peoria St, Aurora, CO 80010-1517 | 2017-11-10 |
1619495470 | Libier Camarena Price | Registered Nurse | 3292 Peoria St, Aurora, CO 80010-1517 | 2017-08-31 |
1760903207 | Joanne Accardi | Registered Nurse | 3292 Peoria St, Aurora, CO 80010-1517 | 2017-07-06 |
1285179176 | Haleigh Nicole Borneman | Registered Nurse | 3292 Peoria St, Aurora, CO 80010-1517 | 2016-12-30 |
1356885743 | Alan Ray Reed | Registered Nurse | 3292 Peoria St, Aurora, CO 80010-1517 | 2016-12-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
Find all providers in zip 80010 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
Find all providers in AURORA |
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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.