STACY LATRICE JACKSON (NPI# 1982898227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982898227 |
| Entity Type | Individual |
| Full Name | STACY LATRICE JACKSON |
| Practice Address |
6817 Greenwood Ave. N. Seattle WA 98103-8801 |
| Mailing Address |
6817 Greenwood Ave N Seattle WA 98103-8801 |
| Practice Telephone | 7253510871 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00024477 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868013 | Stacy Harkins Jackson | Counselor | 1812 Wilmer Ave Ste A, Anniston, AL 36201-3830 | 2019-06-03 |
| 1376012609 | Stacy Ann Jackson | Behavioral Analyst | 3762 Amber St Ne Apt 102, Salem, OR 97301-6883 | 2018-11-15 |
| 1922533827 | Stacy Jackson | Non-emergency Medical Transport (VAN) | 201 Wiggins Rd Apt 13, Indianola, MS 38751-3478 | 2017-04-28 |
| 1043530991 | Stacy Marie Jackson | Dentist | 9871 S Parker Rd Unit 103, Parker, CO 80134-8802 | 2010-06-02 |
| 1093066250 | Stacy Jackson | Speech-Language Pathologist | 848 Peirson Ave, Newark, NY 14513-9762 | 2012-09-27 |
| 1851473466 | Stacy L Jackson | Chiropractor | 3249 Mt Diablo Ct, Suite 102, Lafayette, CA 94549-4084 | 2006-10-20 |
| Street Address |
6817 GREENWOOD AVE. N. |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1386186807 | Kristin Jeanine Travis | Specialist | 8405 12th Ave S, Seattle, WA 98108-4418 | 2016-11-15 |
| 1700332186 | Dustin Eugene Taylor | Specialist | 9849 17th Ave Sw # 127, Seattle, WA 98106-2714 | 2016-08-26 |
| 1053865006 | Lifespan Biosciences | Specialist | 2401 4th Ave, Suite 900, Seattle, WA 98121-3419 | 2016-08-08 |
| 1699140426 | Trent L Tredway Md | Specialist | 901 Boren Ave Ste 600, Seattle, WA 98104-3596 | 2015-12-04 |
| 1467829226 | Elizabeth Terry | Specialist | 1601 N 52nd St, Seattle, WA 98103-6109 | 2015-08-27 |
| 1376929919 | Matthew Kory Grey | Specialist | 3001 Beacon Ave S, Seattle, WA 98144-5853 | 2015-08-05 |
| 1497130207 | Jaqulyn Nikole Carrell | Specialist | 3910 Montlake Blvd Ne, Seattle, WA 98195-0001 | 2015-07-22 |
| Find all providers in SEATTLE | ||||
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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.