HEIDI ERICKA JACKSON (NPI# 1699242826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699242826 |
| Entity Type | Individual |
| Full Name | HEIDI ERICKA JACKSON |
| Credential | RN |
| Practice Address |
15606 Ne 12th Way Vancouver WA 98684 |
| Mailing Address |
15606 Ne 12th Way Vancouver WA 98684-4158 |
| Practice Telephone | 5414013098 |
| Mailing Telephone | 5414013098 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
201801572RN | OR | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15606 Ne 12th Way, Vancouver, WA 98684 | 5414013098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619232782 | Heidi Jackson | Counselor | 108 Robin Rd Ste 2004, Altamonte Springs, FL 32701-5035 | 2012-07-05 |
| 1508942954 | Heidi A Jackson | Nurse Practitioner | 261 N Roosevelt Ave, Chandler, AZ 85226-2616 | 2006-10-28 |
| 1528596392 | Heidi Margaret Jackson | Counselor | 921 W Avenue J Ste C, Lancaster, CA 93534-3443 | 2017-05-24 |
| 1942481452 | Heidi Holman Jackson | Surgery | 700 W Ironwood Dr, Suite 341, Coeur D Alene, ID 83814-2656 | 2007-11-27 |
| 1467486340 | Heidi Jackson | Physician Assistant | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-07-10 |
| 1831176239 | Heidi Lynn Jackson | Nurse Practitioner | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2005-12-27 |
| Street Address |
15606 NE 12TH WAY |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| 1174954911 | Susan Louise Kelsay | Marriage & Family Therapist | 201 Se 124th Ave., #203, Vancouver, WA 98684 | 2013-12-04 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998306 | Teresa A Carden | Registered Nurse | 615 E 22nd St, Vancouver, WA 98663-3208 | 2019-02-13 |
| 1265961064 | Ann Marie Jonsson | Registered Nurse | 5411 E Mill Plain Blvd Ste 28, Vancouver, WA 98661-7046 | 2017-06-06 |
| 1982771812 | Northwest Wellness | Registered Nurse | 5115 Ne 76th St, Vancouver, WA 98661-1357 | 2006-11-29 |
| 1053324590 | Judy J Hubbard | Registered Nurse | 3208 Se 152nd Ave, Vancouver, WA 98683-5137 | 2006-08-15 |
| 1134614191 | Lin Tamar Mazor | Registered Nurse | 14508 Ne 20th Ave, Vancouver, WA 98686-6424 | 2018-06-22 |
| 1710209804 | Lynn Ann Smiley | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2010-02-17 |
| 1730309824 | Clark County Public Health | Registered Nurse | 1601 E Fourth Plain Blvd Bldg 17, 3rd Floor, Vancouver, WA 98661-3713 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957856 | Alina Maries | Registered Nurse | 15707 Ne 160th St, Woodinville, WA 98072-8179 | 2020-09-20 |
| 1871138305 | Kevin Truong | Registered Nurse | 16101 Bothell Everett Hwy Unit E203, Mill Creek, WA 98012-1207 | 2019-11-07 |
| 1013568559 | Jennifer Kay Kirwan | Registered Nurse | 108 Garfield St, Seattle, WA 98109-3127 | 2019-09-26 |
| 1619448826 | Edward Alvon Murray Jr. | Registered Nurse | Bldg 9025 5th St, Tacoma, WA 98431-0001 | 2018-12-16 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1013401306 | Rebecca Lynn Calderara | Registered Nurse | 3815 S Othello St Apt 202, Seattle, WA 98118-3510 | 2018-06-19 |
| 1629594601 | Kelly Mcintire | Registered Nurse | 3701 Pacific Ave Ste 200, Tacoma, WA 98418-7838 | 2017-08-21 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| 1083135420 | Michelle Kemmer | Registered Nurse | 7013 Sandridge Rd, Long Beach, WA 98631-4703 | 2017-07-06 |
| 1578084109 | Cheri Suzanne Jacobsen | Registered Nurse | 18818 Se 287th St, Kent, WA 98042-5443 | 2017-07-05 |
| Find all providers with the same taxonomy | ||||
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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.