HEATHER JACKSON (NPI# 1831631092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831631092 |
| Entity Type | Individual |
| Full Name | HEATHER JACKSON |
| Practice Address |
1471 Elmwood Ave Cranston RI 02910-3849 |
| Mailing Address |
249 Roosevelt Ave Pawtucket RI 02860-2134 |
| Practice Telephone | 4014907320 |
| Mailing Telephone | 4014907320 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260545 | Heather Jackson | Registered Nurse | 2503 Beneva Rd Unit 8, Sarasota, FL 34232-3602 | 2020-06-23 |
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1487194445 | Heather Jackson | Physical Therapist | 9263 Osborn Rd, Arlington, TN 38002-5922 | 2017-02-24 |
| 1255878203 | Heather Jackson | Nurse's Aide | 1103 Knoxville Hwy, Wartburg, TN 37887 | 2017-01-30 |
| 1053768176 | Heather Jackson | Counselor | 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459-7149 | 2016-05-18 |
| 1851775761 | Heather Jackson | Speech-Language Pathologist | 3780 N Garfield Ave Ste 102, Loveland, CO 80538-2237 | 2015-07-10 |
| 1255734828 | Heather Jackson | Licensed Practical Nurse | 23953 Prairie Rd, Sedro Woolley, WA 98284-8598 | 2014-09-26 |
| 1649602905 | Heather Elizabeth Jackson | Nurse Practitioner | 6286 Pepper Hill St, West Bloomfield, MI 48322-2301 | 2013-08-08 |
| 1710933981 | Heather C. Jackson | Occupational Therapist | 974 E Main St, Mayo, FL 32066-5631 | 2006-05-26 |
| 1669090049 | Heather Lee Jackson | Advanced Practice Midwife | 2022 Kelle Dr, Chesterton, IN 46304-8708 | 2020-07-11 |
| Street Address |
1471 ELMWOOD AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760534952 | Tania Mafalda Cornelio Weld | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2007-01-17 |
| 1972095115 | Devin Marie Vietri | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-06-04 |
| 1033608724 | Hannah J Schilke | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-05-08 |
| 1487158879 | Kristen Gangemi | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-03-20 |
| 1225557002 | Sara Morgan | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2017-09-13 |
| 1518400027 | Yumin Tan-gutierrez | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-12-01 |
| 1669915179 | Anthony Mabray | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-12-01 |
| 1558719294 | Shawn Eric Parra | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-06-02 |
| 1235587585 | Bonnie Alger | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-05-26 |
| 1790133254 | Chloe Sammartino | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080717 | Maxine Swajian | Counselor | 100 Midway Rd Ste 9, Cranston, RI 02920-5742 | 2019-03-01 |
| 1003308982 | Arturo Ramirez | Counselor | 9 Carlo Ct, Cranston, RI 02921-2603 | 2018-06-05 |
| 1336638303 | Rhode Island Counseling Associates LLC | Counselor | 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6043 | 2018-05-05 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1093250466 | Courtney Young | Counselor | 6 Collingwood Dr, Cranston, RI 02921-2609 | 2016-12-21 |
| 1659722916 | Eric John Fallon | Counselor | 232 Northup St, Cranston, RI 02905-4215 | 2016-06-28 |
| 1114313384 | Ashley Ann Macari | Counselor | 178 Park Ave, Cranston, RI 02905-2650 | 2015-04-14 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1972920585 | Massiel F Almond Frias | Counselor | 221 Woodbine St, Cranston, RI 02910-2953 | 2014-03-20 |
| Find all providers in CRANSTON | ||||
Please comment or provide details below to improve the information on HEATHER 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.