DR. ALEXIS RENEE JACKSON (NPI# 1952553729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952553729 |
| Entity Type | Individual |
| Full Name | DR. ALEXIS RENEE JACKSON |
| Credential | M.D. |
| Practice Address |
400 Wabash Ave Akron OH 44307-2433 |
| Practice Telephone | 3303446047 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121378 | Alexis Adrianna Jackson | Technician | 1205 Parkman Rd Nw, Warren, OH 44485-2470 | 2019-12-13 |
| 1801430343 | Alexis Jackson | Specialist/Technologist | 22 Ashworth Ct, Conroe, TX 77385-3485 | 2019-10-28 |
| 1750980280 | Alexis Jackson | Pharmacist | 6535 Grayson Rd, Harrisburg, PA 17111-5150 | 2020-10-26 |
| 1699389056 | Alexis Jackson | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2020-09-03 |
| 1710502596 | Alexis Jackson | Peer Specialist | 530 Kings County Dr, Hanford, CA 93230-3579 | 2020-06-08 |
| 1962026013 | Alexis Joan Jackson | Physician Assistant | 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | 2020-06-04 |
| 1275040248 | Alexis Monae Jackson | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2017-12-29 |
| 1164804753 | Alexis R Jackson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-19 |
| 1508984816 | Alexis Malaina Jackson | Occupational Therapist | 1800 Nations Dr, Suite 208, Gurnee, IL 60031-9168 | 2007-03-26 |
| Street Address |
400 WABASH AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44307-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850258 | John S. Maxwell | Specialist | 400 Wabash Ave, Akron, OH 44307-2433 | 2005-06-09 |
| 1821542275 | Deborah Lynn Revello | Nurse Practitioner | 400 Wabash Ave, Akron, OH 44307-2433 | 2016-08-14 |
| 1528493145 | Edward J Sveda | Nurse Anesthetist, Certified Registered | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-09-13 |
| 1710312335 | Jermaine L Coteat | Nurse Anesthetist, Certified Registered | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-09-13 |
| 1053745513 | Brenda Renee Runion | Physical Therapist | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-09-02 |
| 1417380296 | Peter J Foltz | Clinical Nurse Specialist | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-08-15 |
| 1639518392 | Rana Amawi | Nurse Practitioner | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-06-17 |
| 1104261940 | Karthik Iyer | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-05-07 |
| 1821432071 | Thomas Ryan Gspandl | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-04-18 |
| 1639512197 | Steffany R Morton | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2013-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225205 | Tanya Charlene Marshall | Internal Medicine | 1 Akron Avenue, Akron, OH 44307 | 2019-06-24 |
| 1265099220 | Renee M Richardson | Home Health Aide | 817 Easter Ave, Akron, OH 44307 | 2019-05-24 |
| 1619462074 | Lydia Yatras | Nurse Practitioner | Canal Physician Group, 1 Akron General Ave, Akron, OH 44307 | 2018-06-28 |
| 1790293785 | Rachel D Johnson | Home Health Aide | 1068 Nathan St., Akron, OH 44307 | 2018-01-12 |
| 1720495039 | Quashema Anderson | Licensed Practical Nurse | 722 City View Ave, Akron, OH 44307 | 2014-07-18 |
| 1447662085 | Lamona King | Home Health Aide | 507 Warner Court St., Akron, OH 44307 | 2014-06-02 |
| 1255756268 | Carla R Stark | Speech-Language Pathologist | 405 Vernon Odom Blvd, Akron, OH 44307 | 2014-02-27 |
| 1780016493 | Deborah K Calderwood | Physician Assistant | 1 Akron General Ave. Building 301, Floor 2, Akron, OH 44307 | 2013-08-05 |
| 1659650091 | Chukwuma Soyinka Osifeso | Internal Medicine | One Akron General Avenue, Ste 1505, Akron, OH 44307 | 2011-08-16 |
| 1770724239 | Shirley Janette Slay | Nurse's Aide | 1199 Diaganol Rd, Akron, OH 44307 | 2009-03-13 |
| Find all providers in zip 44307 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051413 | Logen Breehl | Student in an Organized Health Care Education/Training Program | Akron Children's Hospital 214 W Bowery St, Akron, OH 44308-1046 | 2020-04-07 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1215566716 | Kylan Robert Hill | Student in an Organized Health Care Education/Training Program | 525 E. Market St., Med II, Department of Obstetrics & Gynecology, Akron, OH 44309 | 2020-04-06 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1174151468 | Kailey Ann Remien | Student in an Organized Health Care Education/Training Program | 156 W Exchange St, Akron, OH 44302 | 2020-03-31 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1174151831 | Evan Hodel | Student in an Organized Health Care Education/Training Program | 325 E Market St, Akron, OH 44304-1340 | 2020-03-30 |
| 1326676347 | Zeba Khalid | Student in an Organized Health Care Education/Training Program | 525 E Market St Ste 3a, Akron, OH 44304-1619 | 2020-03-27 |
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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.