LETTA M JACKSON (NPI# 1952924920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952924920 |
| Entity Type | Individual |
| Full Name | LETTA M JACKSON |
| Credential | RN |
| Practice Address |
1500 Forest Glen Rd Silver Spring MD 20910-1460 |
| Mailing Address |
15250 Siesta Key Way Apt 243 Rockville MD 20850-5553 |
| Practice Telephone | 3017547000 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R236785 | MD | Nursing Service Providers |
| Street Address |
1500 FOREST GLEN RD |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186347 | Camille N Upchurch | Internal Medicine | 1500 Forest Glen Rd, Silver Spring, MD 20910 | 2005-06-29 |
| 1316551146 | Alanna Foster Dessouky | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2020-08-31 |
| 1306465844 | Zuhira H Shifa | Registered Nurse | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2020-04-14 |
| 1518502202 | Gaelle Annick Ngadeu Njonkou | Pharmacist | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2019-11-17 |
| 1346890019 | Sara Tadios Munie | Pharmacist | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2019-09-16 |
| 1336605286 | Cheryl Kay Bird | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2019-02-15 |
| 1609340520 | Margaret Lillian Hull | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2019-01-14 |
| 1114400942 | Audrea Bird Sherman | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2018-09-07 |
| 1760960686 | Marjorie Ellis | Social Worker | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2018-08-02 |
| 1376021485 | Sarah Elizabeth Gray Mikac | Physician Assistant | 1500 Forest Glen Rd, Silver Spring, MD 20910-1484 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417459603 | Alembemulu Adane | Registered Nurse | 8228 New Hampshire Ave, Silver Spring, MD 20903-3423 | 2018-03-02 |
| 1306465844 | Zuhira H Shifa | Registered Nurse | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2020-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973311 | Adebisi Olubunmi Showunmi | Registered Nurse | 3500 Sugar Maple Ct, Waldorf, MD 20602-2625 | 2019-07-09 |
| 1134781875 | Edwin O Juma | Registered Nurse | 3038 Mitchellville Rd, Bowie, MD 20716-1372 | 2019-07-02 |
| 1023673613 | Sandra Beth Yanaga | Registered Nurse | 14200 Sawmill Ct, Phoenix, MD 21131-1838 | 2019-05-08 |
| 1649742263 | Nelson Ngang | Registered Nurse | 6611 Stanton Road, Hyattsville, MD 20784 | 2018-12-20 |
| 1184101867 | Frans A Tassi | Registered Nurse | 2508 Didcot Ct, Bowie, MD 20721-2978 | 2018-07-25 |
| 1184062994 | Meredid Soto Caves | Registered Nurse | 1707 Forest Creek Dr, Hanover, MD 21076-1107 | 2013-06-13 |
| 1548515182 | Paula Marie Young | Registered Nurse | 2514 Appleton Ln, Bowie, MD 20716-1568 | 2012-07-19 |
| 1619270014 | Joseph Love | Registered Nurse | 15848 Lockwood Rd, Williamsport, MD 21795-4058 | 2010-12-07 |
| 1972827186 | Rose Karikari | Registered Nurse | 13300 Overbrook Ln, Bowie, MD 20715-1155 | 2010-03-16 |
| 1407093479 | Michaela Chan Uy | Registered Nurse | 600 N Wolfe St Ste 1415, Baltimore, MD 21287 | 2009-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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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.