DANIELLE MARGARET COLETTE JACKSON (NPI# 1750550919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750550919 |
| Entity Type | Individual |
| Full Name | DANIELLE MARGARET COLETTE JACKSON |
| Credential | MD |
| Practice Address |
1575 Beam Ave Emergency Department Maplewood MN 55109-1126 |
| Practice Telephone | 6512327000 |
| Mailing Telephone | 6512327000 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 19594 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RESIDENCY PERMIT NUMBER | 19594 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112179 | Danielle Caitlin Jackson | Physician Assistant | 1011 Harlan St, Indianapolis, IN 46203-1318 | 2020-04-07 |
| 1295215226 | Danielle Jackson | Student in an Organized Health Care Education/Training Program | 7427 Meadow Run Ct, Mobile, AL 36619-3632 | 2018-08-20 |
| 1578914537 | Danielle Jackson | Case Manager/Care Coordinator | 2088 Carver Dr, Marrero, LA 70072 | 2016-06-30 |
| 1063879930 | Danielle Marie Jackson | Licensed Practical Nurse | 4 Hawk Nest Ln Apt 2, Wallkill, NY 12589-2630 | 2016-01-24 |
| 1033585831 | Danielle Lawanna Jackson | Registered Nurse | 213 Birkdale Dr, Daytona Beach, FL 32124-2053 | 2015-08-15 |
| 1578906905 | Danielle S Jackson | Psychiatry & Neurology | 446 E Ontario St Ste 200, Chicago, IL 60611-4418 | 2013-04-16 |
| 1033419155 | Danielle Jackson | Physician Assistant | 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 | 2010-10-22 |
| 1841818531 | Danielle Beverly Jackson | Speech-Language Pathologist | 4501 Jackson Rd, Fredericksburg, VA 22407-6706 | 2020-07-08 |
| 1669093431 | Danielle Ashley Jackson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-02 |
| 1104461730 | Danielle Jackson | Pharmacist | 6181 Us Highway 431, Albertville, AL 35950-2011 | 2019-11-06 |
| Street Address |
1575 BEAM AVE EMERGENCY DEPARTMENT |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447468 | Darcy Ross Mcbride | Radiology | 1575 Beam Ave, Health East Cancer Care, Maplewood, MN 55109-1126 | 2005-06-15 |
| 1851857627 | Ashley Marie Vold | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2019-02-15 |
| 1972075406 | Baylee Nahan | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-12-21 |
| 1770087058 | Anna Rae Shelley | Genetic Counselor, MS | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-03-21 |
| 1922508605 | Jason Krier | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-02-19 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1366959652 | Gabrielle Mae Blia Lee | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-08 |
| 1962925479 | Yeng Lor | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1396268801 | De Mo Soe | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1437672946 | Way Ber | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932549474 | Wendy M Chan | Emergency Medicine | 13 Oakland Rd, Maplewood, NJ 07040-2224 | 2013-06-28 |
| 1457647497 | Andrew Bernard Theilen | Emergency Medicine | 2711 Laclede Station Rd Apt C, Maplewood, MO 63143-2825 | 2011-06-28 |
| 1730137829 | Kai Adam Tuominen | Emergency Medicine | 1655 Beam Avenue, Suite 302 Maplewood Prof Bldg, Maplewood, MN 55109-1126 | 2006-05-04 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1508395708 | Amy Rachel Borys | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-06-09 |
| 1366971988 | Mary Rochelle Swiggum | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-06-07 |
| 1780035279 | Oliver Garrison | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-26 |
| 1699137216 | Jeffrey Michael Corajod | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-03-23 |
| 1285015347 | Stationmd Professional Corporation | Emergency Medicine | 515 Valley St Ste 203, Maplewood, NJ 07040-4300 | 2015-06-15 |
| 1215323787 | Michael H Bambenek | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2015-04-12 |
| Find all providers in MAPLEWOOD | ||||
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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.