DESIREE NICOLE JACKSON (NPI# 1932724937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932724937 |
| Entity Type | Individual |
| Full Name | DESIREE NICOLE JACKSON |
| Practice Address |
335 N Alma School Rd Chandler AZ 85224-4363 |
| Mailing Address |
2161 E New Bedford Dr Gilbert AZ 85234-3865 |
| Practice Telephone | 4806411165 |
| Mailing Telephone | 4808599997 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989576 | Desiree Jackson | Counselor | 906 W Olive St Apt 31, West Monroe, LA 71292-6400 | 2018-04-18 |
| 1699150268 | Desiree Jackson | Early Intervention Provider Agency | 2127 Marion Pl, North Baldwin, NY 11510-2921 | 2015-07-24 |
| 1679009534 | Desiree Jackson | Licensed Practical Nurse | 3000 Goffs Falls Rd, Ste 101, Manchester, NH 03103-6109 | 2017-05-11 |
| Street Address |
335 N ALMA SCHOOL RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174683569 | James Thomas Allison | General Practice | 335 N Alma School Rd, Suite B, Chandler, AZ 85224 | 2006-12-08 |
| 1033719109 | Alisha J Robles | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-10-28 |
| 1184239329 | Lorrie Santana | Student in an Organized Health Care Education/Training Program | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-09-14 |
| 1487266573 | Celenn Tonia Ramsey | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-08-19 |
| 1245840594 | Lori M Gille | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-08-03 |
| 1750991998 | Shane Brendan Quinn | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-08-03 |
| 1497370365 | Mary Catherine Ferrell | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-16 |
| 1184249575 | Ahinoam Keren Chavez | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-11 |
| 1457976227 | Caitlyn Tirella | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-08 |
| 1346864238 | Tiffany Stradling | Nurse Practitioner | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734415 | Lady Esther Agyepong | Counselor | 625 N Hamilton St Unit 53, Chandler, AZ 85225-3996 | 2020-03-05 |
| 1033744560 | Victor Escoto | Counselor | 6909 W Ray Rd # 15-121, Chandler, AZ 85226-1699 | 2020-03-04 |
| 1457984528 | Erica Christmas | Counselor | 2350 W Ray Rd Ste 2, Chandler, AZ 85224-3516 | 2020-02-18 |
| 1962049965 | The Wellness Tree | Counselor | 3210 S Gilbert Rd Ste 1, Chandler, AZ 85286-5108 | 2019-12-09 |
| 1598308470 | Better Choices 4 Life LLC | Counselor | 2185 W Pecos Rd Ste 101, Chandler, AZ 85224-4873 | 2019-10-23 |
| 1225698780 | Battlecare LLC | Counselor | 825 W Queen Creek Rd Apt 2127, Chandler, AZ 85248-3224 | 2019-06-17 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1720549389 | Joshua Reza Mehdikhan | Counselor | 3140 N Arizona Ave Ste 113, Chandler, AZ 85225-7167 | 2019-03-27 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1407391204 | Nicole O'hare | Counselor | 1820 E Ray Rd Ste A-109, Chandler, AZ 85225-8720 | 2017-01-03 |
| Find all providers in CHANDLER | ||||
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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.