MARCUS JACKSON (NPI# 1720361652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720361652 |
| Entity Type | Individual |
| Full Name | MARCUS JACKSON |
| Practice Address |
320 Princess Ave North Las Vegas NV 89030-3809 |
| Practice Telephone | 7025735812 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767128 | Marcus S Jackson Sr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5615 Shell Rd, Pensacola, FL 32503-7825 | 2020-07-08 |
| 1811495138 | Marcus Devaughn Jackson | Counselor | 221 Gladys Hodge Rd, Homer, LA 71040-5447 | 2018-02-01 |
| 1770028425 | Marcus Jackson | Counselor | 2313 Almonaster Ave, New Orleans, LA 70117 | 2017-01-04 |
| 1811044845 | Marcus Jackson | Dentist | 8847 Veterans Memorial Blvd Ste B, Metairie, LA 70003-7707 | 2007-01-04 |
| 1548868946 | Marcus Jackson | Pharmacist | 518 Donelson Pike, Nashville, TN 37214-3729 | 2020-10-16 |
| 1063022499 | Marcus K Jackson | Dentist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2020-07-31 |
| 1992314595 | Marcus Jackson | Case Manager/Care Coordinator | 2880 Central Pkwy, Cincinnati, OH 45225-2302 | 2020-07-29 |
| 1124523899 | Marcus Dior Jackson | In Home Supportive Care | 1913 Tremont St Se, Washington, DC 20020-7604 | 2018-03-26 |
| 1558863076 | Marcus Joseph Jackson | Behavior Technician | 648 Independence Pkwy Ste 300, Chesapeake, VA 23320-5208 | 2018-02-28 |
| 1568821320 | Marcus Jackson | Case Manager/Care Coordinator | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2016-02-22 |
| Street Address |
320 PRINCESS AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472974 | Darren Barnes | Rehabilitation Practitioner | 320 Princess Ave, North Las Vegas, NV 89030-3809 | 2012-02-22 |
| 1164706271 | Jeremy Hall | Rehabilitation Practitioner | 320 Princess Ave, North Las Vegas, NV 89030-3809 | 2011-10-07 |
| 1528341302 | Brittany Sanders | Behavior Technician | 320 Princess Ave, North Las Vegas, NV 89030-3809 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891314084 | Devin Michael Thrower | Rehabilitation Practitioner | 6616 Night Owl Bluff Ave, North Las Vegas, NV 89084-2027 | 2020-04-08 |
| 1790329175 | Martin Solomon Katz | Rehabilitation Practitioner | 3004 Pumpkin Harvest Ave, North Las Vegas, NV 89031-0393 | 2019-10-29 |
| 1851854814 | Robert A Taylor | Rehabilitation Practitioner | 719 Glenwood Springs Ave, North Las Vegas, NV 89032-7689 | 2019-04-08 |
| 1932661774 | Kiara R Savannah | Rehabilitation Practitioner | 2604 Campobello Ave, North Las Vegas, NV 89081-2423 | 2019-04-02 |
| 1174093538 | Francesca Nicole Tan Mangisel | Rehabilitation Practitioner | 3131 W Craig Rd Ste 108, North Las Vegas, NV 89032-0780 | 2018-11-28 |
| 1295213775 | Sheila O'neal | Rehabilitation Practitioner | 5135 Camino Al Norte # 115, North Las Vegas, NV 89031-2387 | 2018-08-06 |
| 1043705742 | Napoleon Stuckey | Rehabilitation Practitioner | 3924 Carla Ann Rd, North Las Vegas, NV 89081-4086 | 2018-06-25 |
| 1285129908 | Tyler Stuckey | Rehabilitation Practitioner | 3955 Keasberry Ave, North Las Vegas, NV 89081-6692 | 2018-06-25 |
| 1528553237 | Sean Reeder | Rehabilitation Practitioner | 4033 Grant Hill Ave, North Las Vegas, NV 89081-6648 | 2018-06-25 |
| 1467947457 | Karina Marie Flores | Rehabilitation Practitioner | 4349 Sharpshooter Ln, North Las Vegas, NV 89031-2197 | 2018-06-22 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on MARCUS JACKSON.
| 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.