MARY JACKSON (NPI# 1912127242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912127242 |
| Entity Type | Individual |
| Full Name | MARY JACKSON |
| Practice Address |
215 S Silver Ave Deming NM 88030-3715 |
| Mailing Address |
1223 S Santa Cruz St Deming NM 88030-5439 |
| Practice Telephone | 5055462771 |
| Practice Fax Number | 5055469427 |
| Mailing Telephone | 5055466237 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R47234 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
215 S SILVER AVE |
| City | DEMING |
| State | NM |
| Zip Code | 88030-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902940109 | Velia Luna I | Nurse Practitioner | 215 S Silver Ave, Deming, NM 88030-3715 | 2007-02-19 |
| 1538589973 | Rossana Trujillo | Social Worker | 215 S Silver Ave, Deming, NM 88030-3715 | 2014-04-24 |
| 1104045020 | Dolores Coronado | Registered Nurse | 215 S Silver Ave, Deming, NM 88030-3715 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| 1437621943 | Lloyd's Water Pal Corporation | Pharmacist | 622 West First Street, Soon Other At Other : 8700 East Fourth Street, Deming, NM 88030 | 2018-12-21 |
| 1649768672 | Beatrice Kasey Jackson | Behavior Technician | 1411 S Socorro St, Deming, NM 88030 | 2018-04-25 |
| 1376062174 | Suzzana M Weber | Social Worker | 1321 E Poplar Ave, Deming, NM 88030 | 2017-09-12 |
| 1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
| 1124419627 | Ambercare Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 707 E Pine St, Suite A, Deming, NM 88030 | 2015-02-05 |
| 1508288598 | Brian Plasters | Case Manager/Care Coordinator | 9025 Hwy 377 Ne, Deming, NM 88030 | 2014-01-10 |
| 1275884785 | Marcos A Reyna | Counselor | 125 Chaparral Blvd. Nw, Deming, NM 88030 | 2012-09-24 |
| 1487963831 | Juanita A. Smith | Case Manager/Care Coordinator | 901 West Hickory, Deming, NM 88030 | 2010-10-04 |
| 1659504231 | Marylou H Lozano | Case Manager/Care Coordinator | 901 West Hickory St, Deming, NM 88030 | 2009-08-28 |
| Find all providers in zip 88030 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104045020 | Dolores Coronado | Registered Nurse | 215 S Silver Ave, Deming, NM 88030-3715 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185948 | Trinity Christian Camps, Ltd | Registered Nurse | 1698 S Roosevelt Road 13, Portales, NM 88130-8705 | 2018-08-27 |
| 1841796224 | Patricia Mccarty | Registered Nurse | 49 Twin Peaks Rd Se, Albuquerque, NM 87123-3906 | 2018-04-03 |
| 1326548355 | Dana Tapia | Registered Nurse | 49 Camino La Canada, Los Lunas, NM 87031-8177 | 2018-02-16 |
| 1730691742 | Larissa Baldonado | Registered Nurse | 236 Don Pasqual Rd Nw, Los Lunas, NM 87031 | 2017-10-31 |
| 1639579352 | Cynthia Brooks | Registered Nurse | 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 | 2014-08-29 |
| 1457698714 | Diane M Broome | Registered Nurse | 11a Leaping Powder Rd, Santa Fe, NM 87508-5923 | 2013-01-07 |
| 1588948905 | Catherine Mary Yarmey-legg | Registered Nurse | 1621 Saratoga Dr Ne, Rio Rancho, NM 87144-1511 | 2011-10-04 |
| 1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
| 1023137155 | Cynthia Fraser | Registered Nurse | 516 Nizhoni Boulevard, Bldg. F, Gimc, Phn, Gallup, NM 87301 | 2007-03-28 |
| 1194802017 | James Lee Sutton | Registered Nurse | Jicarilla Health Care Facility, 12000 Stone Lake Rd, Pob 187, Dulce, NM 87528 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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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.