MS. DIANA JACKSON (NPI# 1942423959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942423959 |
| Entity Type | Individual |
| Full Name | MS. DIANA JACKSON |
| Practice Address |
19 E 6th St Tracy CA 95376-4107 |
| Mailing Address |
15555 Warfield Rd Lathrop CA 95330-9492 |
| Practice Telephone | 2099564240 |
| Practice Fax Number | 2099564245 |
| Mailing Telephone | 2096125752 |
| Mailing Fax Number | 2099564245 |
| Enumeration Date | 2007-04-10 |
| 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 |
IMF 42420 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255787594 | Diana Yashieka Jackson | Licensed Practical Nurse | 973 Portland Ave, Downstairs, Rochester, NY 14621-4165 | 2016-05-05 |
| 1225449499 | Diana Jackson | Licensed Practical Nurse | 5582a Zapata Dr, Pegram, TN 37143-2300 | 2014-05-09 |
| 1962631424 | Diana Jackson | Licensed Practical Nurse | 6628 Crescent Grn, West Bloomfield, MI 48322-1325 | 2009-07-06 |
| 1225247752 | Diana Dean Jackson | Specialist | 6133 Elm Ln, Matteson, IL 60443-1321 | 2007-05-22 |
| 1902405004 | Diana Lynn Jackson | Technician | 409 Spring Ave, Moorefield, WV 26836-1036 | 2020-10-20 |
| 1417498007 | Diana Jackson | Nurse Practitioner | 300 Main St, Lewiston, ME 04240-7027 | 2017-03-15 |
| 1902352412 | Diana Sue Jackson | Counselor | 1744 2nd Ave Se, Cedar Rapids, IA 52403-2306 | 2016-08-25 |
| 1417378787 | Diana Beltran Jackson | Speech-Language Pathologist | 3355 Boca Chica Blvd, Suite 8, Brownsville, TX 78521-4201 | 2014-01-03 |
| 1083837843 | Diana Marie Jackson | Nurse Practitioner | 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 2007-04-10 |
| Street Address |
19 E 6TH ST |
| City | TRACY |
| State | CA |
| Zip Code | 95376-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629191366 | Lani G Westervelt | Marriage & Family Therapist | 19 E 6th St, Tracy, CA 95376-4107 | 2007-04-09 |
| 1821604232 | Tamara Elizabeth Centeno Lopez | Counselor | 19 E 6th St, Tracy, CA 95376-4107 | 2020-09-21 |
| 1043501570 | Ana Gabriela De Trinidad | Counselor | 19 E 6th St, Tracy, CA 95376-4107 | 2011-05-02 |
| 1255659603 | Wajma Aslami | Marriage & Family Therapist | 19 E 6th St, Tracy, CA 95376-4107 | 2010-05-10 |
| 1053504720 | Dana Marie Pinnelli | Marriage & Family Therapist | 19 E 6th St, Tracy, CA 95376-4107 | 2007-08-24 |
| 1265624340 | Karen Lynn Snell | Counselor | 19 E 6th St, Tracy, CA 95376-4107 | 2007-08-13 |
| 1982815684 | Fay Gladys Vieira | Counselor | 19 E 6th St, Tracy, CA 95376-4107 | 2007-05-24 |
| 1235352279 | Stacie Andersen | Marriage & Family Therapist | 19 E 6th St, Tracy, CA 95376-4107 | 2007-04-10 |
| 1629191978 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 19 E 6th St, Tracy, CA 95376-4107 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801272448 | Jennifer Lee Starks | Counselor | 4600 S Tracy Blvd Ste 106, Tracy, CA 95377-8105 | 2015-08-05 |
| 1003210311 | John Eugene Oliveira IIi | Counselor | 711 Sequoia Blvd, Tracy, CA 95376-4349 | 2014-10-15 |
| 1881931103 | Ursula Ngozi Ogamba | Counselor | 1194 Palomar Dr, Tracy, CA 95377-8963 | 2013-01-07 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1992076731 | Jessica Marie Quiambao | Counselor | 902 N Central Ave, Suite 308, Tracy, CA 95376-3929 | 2012-01-25 |
| 1306004197 | Sheena Marie Turner-august | Counselor | 35 E 10th St Ste L, Tracy, CA 95376-4083 | 2008-05-28 |
| 1821604232 | Tamara Elizabeth Centeno Lopez | Counselor | 19 E 6th St, Tracy, CA 95376-4107 | 2020-09-21 |
| 1801408158 | Christian Paul Romero | Counselor | 42 W 8th St, Tracy, CA 95376-4123 | 2020-08-18 |
| 1811537343 | Sylvia Supreme Warner | Counselor | 42 W 8th St, Tracy, CA 95376-4123 | 2020-01-13 |
| 1891348819 | Fix'd Inc. | Counselor | 68 E 11th St Ste 115, Tracy, CA 95376-4089 | 2019-07-18 |
| Find all providers in TRACY | ||||
Please comment or provide details below to improve the information on MS. DIANA JACKSON.
| 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.