SHARON L JACKSON (NPI# 1912094335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912094335 |
| Entity Type | Individual |
| Full Name | SHARON L JACKSON |
| Credential | MD |
| Practice Address |
2716 Tibbets Dr Bedford TX 76022-6915 |
| Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
| Practice Telephone | 8175716644 |
| Practice Fax Number | 8176857951 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828851396 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | K1835 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140442852 | 05 | |
| TX | CIGNA PIN | 8462718 | 01 |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | 140442886 | 05 | |
| TX | FIRSTHEATLH PIN | 2195617 | 01 |
| TX | UHC PIN | 1436380 | 01 |
| TX | CCN PIN | 5514444 | 01 |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | BCBSTX IND PIN | 8A3821 | 01 |
| TX | CCHP PIN | JACS442780 | 01 |
| TX | 163680501 | 05 | |
| TX | AETNA PIN | 5533552 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1891311734 | Sharon Rena Jackson | Health Educator | 4504 Lady Rita Ln, Raleigh, NC 27610-8715 | 2020-06-16 |
| 1427500123 | Sharon Jackson | Case Manager/Care Coordinator | 1000 S Elm St, Tallulah, LA 71282 | 2016-10-28 |
| 1184005738 | Sharon D Jackson | Counselor | 8031 West Center Rd Ste 207, Omaha, NE 68124 | 2015-06-09 |
| 1851719298 | Sharon Jackson | Counselor | 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 | 2014-04-02 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1487877387 | Sharon K. Jackson | Occupational Therapist | 9335 Riggs St, Beaumont, TX 77707-1107 | 2007-04-10 |
| 1346311008 | Sharon Denise Jackson | Nutritionist | 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126 | 2006-11-13 |
| 1134200389 | Sharon Ruth Jackson | Contractor | 2100 N. Hwy 360, Suite 1704, Grand Prairie, TX 75050-1062 | 2006-10-17 |
| 1558973164 | Sharon Lee Jackson | Behavior Technician | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2020-08-17 |
| Street Address |
2716 TIBBETS DR |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052201 | Patricia L Archilles | Nurse Practitioner | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2011-07-01 |
| 1407051436 | Allison L Townley | Nurse Practitioner | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2007-06-19 |
| 1871616318 | Sandra Lynne Johnson | Nurse Practitioner | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2007-04-09 |
| 1912096082 | Valen J Radimecky | Pediatrics | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2006-10-12 |
| 1376630251 | James C Wheeler | Pediatrics | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765181 | Pedro Daniel Paez | Pediatrics | 2208 Murphy Dr Apt 704, Bedford, TX 76021-5912 | 2020-03-22 |
| 1386114106 | Childen's Community Care | Pediatrics | 1 Corporate Dr Ste 109, Bedford, PA 15522-7983 | 2018-12-05 |
| 1508336959 | Akansha Karowadia | Pediatrics | 2213 Martin Dr Ste 200, Bedford, TX 76021-6246 | 2018-11-28 |
| 1477786465 | Ana I Valdes Roque | Pediatrics | 2213 Martin Drive, Bedford, TX 76021 | 2009-08-25 |
| 1265601967 | University Hospitals Medical Practices Inc | Pediatrics | 22750 Rockside Rd # 302, Bedford, OH 44146-1574 | 2008-02-27 |
| 1487839882 | Jaime Bamford | Pediatrics | 1409 Old Dominion Blvd, Bedford, VA 24523-3285 | 2008-01-03 |
| 1922293802 | Katina Aurelia Raciti | Pediatrics | 290 Bedford Barksville Rd, Bedford, NY 10506-1925 | 2007-09-13 |
| 1922130897 | Gretchen A Kind | Pediatrics | 11 Sweeney Ridge Rd, Bedford, MA 01730-1297 | 2007-03-09 |
| 1093801508 | Nilla Vibhakar | Pediatrics | 19999 Rockside Road, Bedford, OH 44146 | 2006-10-04 |
| 1558323071 | Martin Edward Schwartzberg | Pediatrics | 58 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-04-03 |
| Find all providers in BEDFORD | ||||
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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.