ALEXIS JACKSON (NPI# 1710502596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710502596 |
| Entity Type | Individual |
| Full Name | ALEXIS JACKSON |
| Practice Address |
530 Kings County Dr Hanford CA 93230-3579 |
| Practice Telephone | 5594156737 |
| Mailing Telephone | 5594156737 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121378 | Alexis Adrianna Jackson | Technician | 1205 Parkman Rd Nw, Warren, OH 44485-2470 | 2019-12-13 |
| 1801430343 | Alexis Jackson | Specialist/Technologist | 22 Ashworth Ct, Conroe, TX 77385-3485 | 2019-10-28 |
| 1750980280 | Alexis Jackson | Pharmacist | 6535 Grayson Rd, Harrisburg, PA 17111-5150 | 2020-10-26 |
| 1699389056 | Alexis Jackson | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2020-09-03 |
| 1962026013 | Alexis Joan Jackson | Physician Assistant | 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | 2020-06-04 |
| 1275040248 | Alexis Monae Jackson | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2017-12-29 |
| 1164804753 | Alexis R Jackson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-19 |
| 1952553729 | Alexis Renee Jackson | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2008-10-10 |
| 1508984816 | Alexis Malaina Jackson | Occupational Therapist | 1800 Nations Dr, Suite 208, Gurnee, IL 60031-9168 | 2007-03-26 |
| Street Address |
530 KINGS COUNTY DR |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093864720 | Christopher M Rose | Dentist | 530 Kings County Dr, Suite 103, Hanford, CA 93230-5954 | 2007-01-10 |
| 1295396331 | John Anthony Nieblas Jr. | Marriage & Family Therapist | 530 Kings County Dr, Hanford, CA 93230-3579 | 2019-06-27 |
| 1316402035 | Simone Lee | Social Worker | 530 Kings County Dr, Hanford, CA 93230-3579 | 2019-02-06 |
| 1609352558 | Aspiranet | Community/Behavioral Health | 530 Kings County Dr, Hanford, CA 93230 | 2018-07-13 |
| 1306214804 | Darrell D Allen Jr. | Counselor | 530 Kings County Dr, Hanford, CA 93230-3579 | 2015-09-14 |
| 1194113167 | Gina M. Muro | Marriage & Family Therapist | 530 Kings County Dr, Hanford, CA 93230-3579 | 2014-12-29 |
| 1093074221 | Excellence Medical Group Inc | Clinic/Center | 530 Kings County Dr, Suite 107, Hanford, CA 93230-3579 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516380 | Danielle Mcfadden | Peer Specialist | 460 Kings County Dr, Hanford, CA 93230-5953 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| 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.