LAUREN JACKSON (NPI# 1912396086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912396086 |
| Entity Type | Individual |
| Full Name | LAUREN JACKSON |
| Credential | PA-C |
| Practice Address |
6585 S Yale Ave Ste 200 Tulsa OK 74136-8315 |
| Practice Telephone | 9184812767 |
| Practice Fax Number | 9184949277 |
| Mailing Telephone | 9184812767 |
| Mailing Fax Number | 9184949277 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2490 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2490 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200572730A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377604 | Lauren Ashley Jackson | Behavioral Analyst | 1028 E Worthey St, Gonzales, LA 70737-4367 | 2019-10-17 |
| 1629559778 | Lauren Jackson | Nurse Practitioner | 444 N Cleveland Ave Ste 130, Westerville, OH 43082-8388 | 2018-08-27 |
| 1568960557 | Lauren Elizabeth Jackson | Pharmacist | 1117 S Miles Ave Ste 1, Union City, TN 38261-5439 | 2018-01-25 |
| 1447763529 | Lauren Nicole Jackson | Dietitian, Registered | 71 Sherwood Hts, Wappingers Falls, NY 12590-3408 | 2017-11-10 |
| 1609305937 | Lauren Nicole Jackson | Genetic Counselor, MS | 18181 Oakwood Blvd Ste 102g, Dearborn, MI 48124-3996 | 2017-06-09 |
| 1689049744 | Lauren Michelle Jackson | Counselor | 1046 Lioncrest Drive, Richton Park, IL 60471 | 2015-12-01 |
| 1689963563 | Lauren Alethea Jackson | Speech-Language Pathologist | 10200 W State Road 84, 223, Davie, FL 33324-4204 | 2011-03-31 |
| 1467607457 | Lauren Marie Jackson | Occupational Therapist | 4175 Stoneridge Ln, Dublin, OH 43017-2080 | 2008-11-18 |
| 1790392413 | Lauren Victoria Jackson | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-09-27 |
| 1598320749 | Lauren Michelle Jackson | Counselor | 111 N Wabash Ave, Chicago, IL 60602-1903 | 2019-05-02 |
| Street Address |
6585 S YALE AVE STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-8315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283940 | R. Clio Robertson | Orthopaedic Surgery | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2005-11-22 |
| 1225524440 | Melissa Leigh Medley | Specialist/Technologist | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2018-07-11 |
| 1528418902 | Molly Ryan | Physical Medicine & Rehabilitation | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2016-06-16 |
| 1316331044 | Matthew Boyne | Specialist/Technologist | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2015-03-19 |
| 1912390238 | Kelly Kushnerick | Physician Assistant | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2015-03-11 |
| 1508272576 | Randi N. Lunow | Specialist/Technologist | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2014-07-10 |
| 1457790545 | Central States Orthopedic | Pharmacy | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2013-06-21 |
| 1659616936 | Richard Lee Mears | Physician Assistant | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2012-11-28 |
| 1770815748 | Kristi Krebs | Physician Assistant | 6585 S Yale Ave Ste 200, Tulsa, OK 74136-8315 | 2010-02-02 |
| 1942349758 | Blake E Shockley | Orthopaedic Surgery | 6585 S Yale Ave Ste 200, Tulsa, OK 74136 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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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.