COLLEEN Q JACKSON (NPI# 1801269840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801269840 |
| Entity Type | Individual |
| Full Name | COLLEEN Q JACKSON |
| Credential | LPN |
| Practice Address |
224 Harrison St Suite 680 Syracuse NY 13202-3056 |
| Practice Telephone | 3154760600 |
| Practice Fax Number | 3154764700 |
| Mailing Telephone | 3154760600 |
| Mailing Fax Number | 3154764700 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 242216 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762844 | Colleen Jackson | Occupational Therapy Assistant | 8011 Elkhart Ave, Lubbock, TX 79424-2615 | 2017-10-26 |
| 1699317263 | Colleen M Jackson | Counselor | 1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734 | 2019-10-15 |
| 1952765661 | Colleen E Jackson | Clinical Neuropsychologist | 150 S Huntington Ave, Boston Va Medical Center (116b), Boston, MA 02130-4817 | 2016-04-08 |
| 1669629275 | Colleen A Jackson | Nutritionist | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2008-08-26 |
| 1134331259 | Colleen Delores Jackson | Nurse Practitioner | 8700 Beverly Blvd, Thalians 2w, Rm 218, West Hollywood, CA 90048-1804 | 2007-05-03 |
| 1346354073 | Colleen Marie Jackson | Durable Medical Equipment & Medical Supplies | 417 E Baltimore St, Unit A, Taneytown, MD 21787-2300 | 2006-08-19 |
| Street Address |
224 HARRISON ST SUITE 680 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215978184 | University Radiology Associates, LLP | Radiology | 224 Harrison St, Suite 601, Syracuse, NY 13202-3056 | 2006-06-09 |
| 1902353527 | Erin Pace | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202 | 2016-09-01 |
| 1184171621 | Lori Sobjak | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202 | 2016-09-01 |
| 1174990600 | Valerie Seketa | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-09-01 |
| 1700261625 | Jennifer Keuchler | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-07-21 |
| 1770967168 | Kelly Konecny | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-07-15 |
| 1407230881 | Teonna Bloomingdale | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-07-15 |
| 1023497476 | Gabrielle Rushmer | Registered Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-05-19 |
| 1396122305 | Alicia Riley | Licensed Practical Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-04-28 |
| 1609262401 | April Lynn Paoff | Registered Nurse | 224 Harrison St, Suite 680, Syracuse, NY 13202-3056 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927848 | Gwendolyn Jane Thomas | Licensed Practical Nurse | 139 Hayden Ave, Syracuse, NY 13204-1509 | 2020-09-17 |
| 1780200758 | Stacey R Green | Licensed Practical Nurse | 707 Meadowbrook Dr, Syracuse, NY 13210-3113 | 2020-06-24 |
| 1033743539 | Mindy Joy Cottrell | Licensed Practical Nurse | 515 Florida Rd, Syracuse, NY 13211-1220 | 2020-02-24 |
| 1205474772 | Mary Kresser | Licensed Practical Nurse | 214 Lafayette Rd, Syracuse, NY 13205-2921 | 2019-12-16 |
| 1528602166 | Rebecca Anne Snyder | Licensed Practical Nurse | 510 Greenwood Pl, Syracuse, NY 13210-2526 | 2019-11-06 |
| 1386286094 | Wendolyn Alicia White | Licensed Practical Nurse | 304 Martin Luther King W, Syracuse, NY 13205-1023 | 2019-10-14 |
| 1609423516 | Kortia Poole | Licensed Practical Nurse | 4574 Onondaga Blvd Apt 38, Syracuse, NY 13219-3308 | 2019-08-25 |
| 1649822826 | Tyrone Lamont Hunter | Licensed Practical Nurse | 620 Erie Blvd W Ste 620erie, Syracuse, NY 13204-2445 | 2019-07-09 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on COLLEEN Q 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.