MISS SHERRY EVA JACKSON (NPI# 1922136399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922136399 |
| Entity Type | Individual |
| Full Name | MISS SHERRY EVA JACKSON |
| Credential | ASW |
| Practice Address |
720 Wood St Eureka CA 95501-4413 |
| Mailing Address |
784 14th St Arcata CA 95521-5840 |
| Practice Telephone | 7072682990 |
| Mailing Telephone | 7078225496 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW 11595 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215580931 | Sherry Danielle Jackson | Counselor | 6301 S Clubview Cir, Bessemer, AL 35022-7041 | 2019-07-22 |
| 1710460100 | Sherry Jackson | Social Worker | 108 Camp Fuller Rd, Wakefield, RI 02879-4500 | 2018-09-11 |
| 1801296736 | Sherry Jackson | Case Manager/Care Coordinator | 1711 Prince Ave, Athens, GA 30606-6009 | 2014-08-28 |
| 1356641674 | Sherry A Jackson | Massage Therapist | 9051 Mansfield Rd, Suite C-11, Shreveport, LA 71118-2674 | 2010-11-02 |
| 1275197865 | Sherry Jackson | Social Worker | 200 E Robinson St, Orlando, FL 32801-1945 | 2019-04-29 |
| 1295174829 | Sherry Jackson | Behavioral Analyst | 3225 Mcleod Dr Ste 100, Las Vegas, NV 89121-2257 | 2013-06-17 |
| 1386871937 | Sherry Lanette Jackson | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2009-06-22 |
| 1881833499 | Sherry Jackson | Internal Medicine | 1095 Park Ave, 2c, New York, NY 10128-1154 | 2009-02-05 |
| 1689828170 | Sherry Jackson | Speech-Language Pathologist | 1780 Kendarbren Dr, Jamison, PA 18929-1064 | 2008-11-11 |
| 1417171554 | Sherry Ann Jackson | Dietitian, Registered | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2007-04-12 |
| Street Address |
720 WOOD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
| 1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
| 1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205233186 | Katie Woerner | Counselor | 427 F St Ste 229, Eureka, CA 95501 | 2014-11-20 |
| 1750539755 | Charla Rowe | Counselor | 930 6th St, Eureka, CA 95501 | 2008-09-03 |
| 1497938872 | Ruth M. Richards-schlarman | Counselor | 540 4th Ave. East, Eureka, MT 59917-0814 | 2007-12-09 |
| 1346422672 | Concepcion Leona Sousa | Counselor | 2145 Myrtle Ave, Eureka, CA 95501 | 2007-11-28 |
| 1407055924 | Michael T Countryman | Counselor | 412 N Saint Nicholas St, Eureka, KS 67045-1857 | 2007-07-13 |
| 1316161003 | Karen Kuulei Fowler | Counselor | 1650 Sinclair Creek Rd, Eureka, MT 59917-9654 | 2007-04-12 |
| 1114054368 | Linda E. Dean | Counselor | 2002 Russ St, Eureka, CA 95501-4718 | 2007-02-27 |
| 1578699260 | Redwood Community Action Agency | Counselor | 1100 California Street, Eureka, CA 95501 | 2007-02-26 |
| 1912040502 | Kimberly Jean Herkert | Counselor | 3525 Park St, Eureka, CA 95501-1549 | 2007-02-14 |
| 1184765265 | Jessica Ada Duke | Counselor | 134 D St, Suite 301, Eureka, CA 95501-0455 | 2007-02-09 |
| Find all providers in EUREKA | ||||
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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.