CANDY L JACKSON (NPI# 1912996257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912996257 |
| Entity Type | Individual |
| Full Name | CANDY L JACKSON |
| Credential | R.D. |
| Practice Address |
1803 W Maxwell Ave Spokane WA 99201-2831 |
| Mailing Address |
505 E North Foothills Dr Spokane WA 99207-2101 |
| Practice Telephone | 5093255502 |
| Practice Fax Number | 5093259839 |
| Mailing Telephone | 5094837535 |
| Mailing Fax Number | 5094839460 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI00001765 | WA | Dietary & Nutritional Service Providers |
| Street Address |
1803 W MAXWELL AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080212 | Kendra Renee' Darnell | Nurse Practitioner | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2019-09-03 |
| 1356905871 | Peter Joseph Natseway | Registered Nurse | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2019-04-30 |
| 1407324916 | Jon Chapman | Counselor | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2018-11-02 |
| 1265952501 | N.a.t.i.v.e. Project | Case Manager/Care Coordinator | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2017-06-27 |
| 1013452739 | Ursula Heflick | Counselor | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2017-01-04 |
| 1629511381 | Chrystal Avelar | Dental Hygienist | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-11-29 |
| 1487105482 | Native Project Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-10-14 |
| 1235588302 | Abraham Woods | Counselor | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-06-08 |
| 1922462696 | Makayla Desjarlais | Case Manager/Care Coordinator | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-04-08 |
| 1447636980 | Savannah Fager | Case Manager/Care Coordinator | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2015-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445150 | Healthy Bodies Nutrition | Dietitian, Registered | 12808 E Apache Pass Rd, Spokane, WA 99206-9309 | 2020-10-22 |
| 1558979369 | Rooted Nutrition Counseling | Dietitian, Registered | 1516 W Riverside Ave Ste 205, Spokane, WA 99201-1241 | 2020-07-17 |
| 1104457282 | Christine Marie Lowman | Dietitian, Registered | 910 W 5th Ave Ste 650, Spokane, WA 99204-2967 | 2020-01-28 |
| 1851939136 | Gloria Jean Treis | Dietitian, Registered | 4815 N Assembly St # Ms 120, Spokane, WA 99205-6197 | 2019-12-17 |
| 1639717226 | Rachel Alexandria Traylor | Dietitian, Registered | 1403 W 3rd Ave, Spokane, WA 99201-7023 | 2019-12-15 |
| 1992346514 | Amy Yeoman | Dietitian, Registered | 711 N Helena St Ste C, Spokane, WA 99202-2826 | 2019-10-04 |
| 1790254969 | Riley Allen Mccorkle | Dietitian, Registered | 101 W 8th Ave Ste 1100, Spokane, WA 99204-2307 | 2018-11-17 |
| 1942791850 | Margaret Eleacia Walser | Dietitian, Registered | 728 S Monroe St Apt 3, Spokane, WA 99204-3019 | 2018-05-25 |
| 1891283560 | Mikaela Carrillo | Dietitian, Registered | 2020 E 29th Ave Ste 210, Spokane, WA 99203-3950 | 2018-04-27 |
| 1629565759 | Rachel Robinson | Dietitian, Registered | 1212 N Washington St Ste 213, Spokane, WA 99201-2401 | 2018-04-14 |
| Find all providers in SPOKANE | ||||
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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.