MR. KEITH EDWARD JACKSON (NPI# 1720263031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720263031 |
| Entity Type | Individual |
| Full Name | MR. KEITH EDWARD JACKSON |
| Credential | R.N. MSN. FNP-C |
| Practice Address |
11114 Endicott Ln Houston TX 77035-3007 |
| Practice Telephone | 7137290968 |
| Practice Fax Number | 7137299198 |
| Mailing Telephone | 7137290968 |
| Mailing Fax Number | 7137299198 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
551433 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407491673 | Keith Jackson | Home Health | 2934 Pelzer Ave, Montgomery, AL 36109-2147 | 2019-11-12 |
| 1871935569 | Keith Daniel Jackson | Dentist | 10868 Us Highway 15 501, Southern Pines, NC 28387-5149 | 2013-07-23 |
| 1205866142 | Keith E Jackson | Nurse Anesthetist, Certified Registered | 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 | 2006-07-04 |
| 1225016454 | Keith Jackson | Otolaryngology | 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230 | 2006-01-06 |
| 1184278129 | Keith T. Jackson | Physical Therapist | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2019-07-29 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1457837551 | Keith Jackson | Case Manager/Care Coordinator | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2018-07-12 |
| 1952890030 | Keith Wesley Jackson | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-05-04 |
| 1033557228 | Keith L Jackson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2013-06-10 |
| 1033461280 | Keith Darnell Jackson | Social Worker | 7550 Constantinople Ave, Las Vegas, NV 89129-6505 | 2012-10-12 |
| Street Address |
11114 ENDICOTT LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77035-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092744 | Joyce Spigner | Technician | 5570 Gasmer #161, Houston, TX 77035 | 2019-09-17 |
| 1356901219 | Chris Ann Webb | Rehabilitation Practitioner | 12301 Main St., Professionals Unit, Houston, TX 77035 | 2019-06-13 |
| 1164983771 | Bringing Hope Inc. | Social Worker | 11401 Hwy 1774, Plantersville, TX 77035 | 2019-03-27 |
| 1760966105 | Lauren Michelle Auzenne | Dentist | 5357 West Bellfort Ave, Houston, TX 77035 | 2018-09-21 |
| 1821574583 | Priscilla D Davis | Counselor | 5240 Arboles Dr Apt 3, Houston, TX 77035 | 2018-07-16 |
| 1376964858 | South Central Houston Action Council Inc | Clinic/Center | 14087 Main St, Houston, TX 77035 | 2013-12-30 |
| 1952735391 | Gwendolyn Faye Jackson | Nurse's Aide | 5743 Farwell Dr., Houston, TX 77035 | 2013-08-21 |
| 1326383134 | Meyerland Memory Care, LLC | Assisted Living Facility | 4710 W Bellfort Street, Houston, TX 77035 | 2012-12-05 |
| 1063761997 | Millie Parikh | Pharmacist | 6415 Dellfern, Houston, TX 77035 | 2012-09-06 |
| 1912255183 | Kelly Lynn Murray | General Practice | 10811 Doud St, Houston, TX 77035 | 2012-08-20 |
| Find all providers in zip 77035 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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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.