KRISTIN M. JACKSON (NPI# 1861417859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861417859 |
| Entity Type | Individual |
| Full Name | KRISTIN M. JACKSON |
| Credential | M.D. |
| Practice Address |
235 E Princeton St Suite 200 Orlando FL 32804-5553 |
| Practice Telephone | 4073031444 |
| Practice Fax Number | 4073031446 |
| Mailing Telephone | 4073031444 |
| Mailing Fax Number | 4073031446 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME 89065 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 268416100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1689221277 | Kristin L Jackson | Physical Therapy Assistant | 15820 Addison Rd, Addison, TX 75001-3549 | 2019-08-20 |
| 1215308143 | Kristin Bravenec Jackson | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-19 |
| 1104255116 | Kristin Mary Jackson | Psychologist | 410 N Prince St, Lancaster, PA 17603-3010 | 2013-11-11 |
| 1740578707 | Kristin Ann Monnat Jackson | Nurse Anesthetist, Certified Registered | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2011-07-12 |
| 1174616825 | Kristin M Jackson | Dentist | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-10-02 |
| 1720037724 | Kristin Jackson | Podiatrist | 1108 1st St Se, Little Falls, MN 56345-3440 | 2006-05-08 |
| Street Address |
235 E PRINCETON ST SUITE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285422 | Diane E Graumlich | Nurse Practitioner | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-02-21 |
| 1124592779 | Lauren Michelle Gover | Obstetrics & Gynecology | 235 E Princeton St, Orlando, FL 32804-5553 | 2019-01-16 |
| 1467891820 | Stacy Michelle Butschek | Advanced Practice Midwife | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2013-06-19 |
| 1508121948 | Jill Marie Johnson | Obstetrics & Gynecology | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2012-07-11 |
| 1558434225 | Melanie Reis | Nurse Practitioner | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-11-17 |
| 1942389747 | Florida Radiology Imaging At Lake Mary LLC | Radiology | 235 E Princeton St, Suite 100, Orlando, FL 32804-5553 | 2006-11-03 |
| 1336164326 | D. Ashley Hill | Obstetrics & Gynecology | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-07-12 |
| 1538191663 | Scott Allen Boone | Obstetrics & Gynecology | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-07-07 |
| 1104853464 | Lynda Jean Balint | Obstetrics & Gynecology | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1568914091 | Physician Associates LLC | Obstetrics & Gynecology | 7243 Della Drive, Orlando, FL 32819-9999 | 2016-11-01 |
| 1922454354 | Luis G. Del Pilar Rodriguez | Obstetrics & Gynecology | 4170 W Town Center Blvd Ste 104, Orlando, FL 32837-5875 | 2016-05-04 |
| 1396149258 | Obstetrics and Gynecology Specialists of Central Florida, P.a. | Obstetrics & Gynecology | 930 S Semoran Blvd, Orlando, FL 32807-3005 | 2014-10-21 |
| 1417351743 | Physician Associates LLC | Obstetrics & Gynecology | 9679 Lake Nona Village Place, Suite 101, 103, and 104, Orlando, FL 32827-9999 | 2014-10-15 |
| 1417254178 | Mary Sue Makin | Obstetrics & Gynecology | 5108 Brenda Dr, Orlando, FL 32812-8717 | 2011-02-16 |
| 1750510087 | Orlando Women Center LLC | Obstetrics & Gynecology | 1103 Lucerne Ter, Orlando, FL 32806-1016 | 2009-07-08 |
| 1679719587 | Womens Care Florida LLP | Obstetrics & Gynecology | 24 Sturtevant St, Orlando, FL 32806-2019 | 2008-12-23 |
| 1174775696 | Susanne V Osborne | Obstetrics & Gynecology | 3438 Lawton Rd # 2b, Orlando, FL 32803-2948 | 2008-10-15 |
| Find all providers in ORLANDO | ||||
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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.