ANNA JACKSON (NPI# 1891342804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891342804 |
| Entity Type | Individual |
| Full Name | ANNA JACKSON |
| Practice Address |
112 N Broad St Philadelphia PA 19102-1512 |
| Practice Telephone | 2155680860 |
| Mailing Telephone | 2155680860 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023477247 | Anna Jackson | Licensed Practical Nurse | 630 Hallie Ave, Akron, OH 44305-2606 | 2016-02-16 |
| 1801439542 | Anna Pavlovna Jackson | Nurse Practitioner | 13005 Southern Blvd, Medical Mall 2, Suite 224, Loxahatchee, FL 33470 | 2019-10-25 |
| 1689236804 | Anna Monica Jackson | Technician, Other | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2019-07-09 |
| 1285120204 | Anna Drew Jackson | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2018-07-02 |
| 1295183770 | Anna Jackson | Physician Assistant | 7780 S Broadway Ste 350, Littleton, CO 80122-2641 | 2016-05-25 |
| 1952798787 | Anna Loyal Jackson | Psychiatry & Neurology | 800 E 70th St, Savannah, GA 31405-4813 | 2015-04-20 |
| 1164833042 | Anna Jackson | Speech-Language Pathologist | 104 Elizabeth St, Ashland City, TN 37015-1101 | 2014-05-14 |
| 1922426998 | Anna Leticia Jackson | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2014-04-06 |
| 1114206232 | Anna Elizabeth Jackson | Massage Therapist | 309 Laurel Ave, Tillamook, OR 97141-2313 | 2011-08-07 |
| 1477845725 | Anna Elizabeth Jackson | Internal Medicine | 305 E 161st St, Bronx, NY 10451-3535 | 2011-05-04 |
| Street Address |
112 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619088788 | John F. Kennedy Community Mh/mr Center | Social Worker | 112 N Broad St, Philadelphia, PA 19102-1510 | 2006-08-31 |
| 1851948848 | Annette Kennedy | Licensed Practical Nurse | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1083261028 | Kelly Courtney | Case Manager/Care Coordinator | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1093362097 | Doven Brezner | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1881241867 | Jasmine Barnes | Case Manager/Care Coordinator | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1366099343 | Emma Ledden | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1801443890 | Jasmine Richardson | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1831746833 | Sean Terence Smith | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1962059972 | Marybeth Goldberg | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1104398783 | Jenniya Douglas | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1275170763 | Erika Anaya Kellogg | Counselor | 3535 Market St Dept Of, Philadelphia, PA 19104-3309 | 2019-12-04 |
| 1568008480 | Heather Mcgee | Counselor | 3343 Bowman St, Philadelphia, PA 19129-1538 | 2019-11-26 |
| 1104468222 | Johann Ochoa | Counselor | 3900 Woodland Ave Bldg 3, Philadelphia, PA 19104-4551 | 2019-10-09 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1447805114 | Sobriety Now LLC. | Counselor | 100 S Broad St Ste 2230, Philadelphia, PA 19110-1021 | 2019-08-08 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1215400106 | David Francis Ross Sr. | Counselor | 622 W Chew Ave Ste 2, Philadelphia, PA 19120-2211 | 2019-01-03 |
| 1124502604 | Saida Heywood | Counselor | 1306 Catharine St, Philadelphia, PA 19147-2628 | 2018-09-20 |
| 1437649415 | Ashley Przywitowski | Counselor | 9815 Roosevelt Blvd Ste B, Philadelphia, PA 19114-1035 | 2018-05-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on ANNA 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.