Diana Jackson (NPI# 1083837843, PAC ID# 7214086347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083837843 |
| PAC ID by PECOS | 7214086347 |
| Professional Enrollment ID | I20090520000571 |
| Full Name | Diana Jackson |
| Organization Legal Name | POUDRE VALLEY HEALTH CARE INC |
| Address |
1025 Pennock Place Fort Collins CO 80524-3257 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618880709 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1025 Pennock Pl, Fort Collins, CO 80524-3257 | 9704958800 | POUDRE VALLEY HEALTH CARE INC |
| 1025 Pennock Place, Fort Collins, CO 80524-3257 | POUDRE VALLEY HEALTH CARE INC |
| Organization Legal Name | POUDRE VALLEY HEALTH CARE INC |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Burnett | Nurse Practitioner | Poudre Valley Health Care Inc | 1025 Pennock Pl, Fort Collins, CO 80524-3257 |
| Benjamin Smith | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Laurie A Verde | Nurse Practitioner | Poudre Valley Health Care Inc | 4601 Corbett Dr, Fort Collins, CO 80528-9579 |
| Alexa L Litel | Emergency Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Roger P Bermingham | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Jillian Busch | Psychiatry | Poudre Valley Health Care Inc | 4601 Corbett Dr, Fort Collins, CO 80528-9579 |
| Kathryn M S David | Nurse Practitioner | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Matthew R Shirazi | Psychiatry | Poudre Valley Health Care Inc | 4601 Corbett Dr, Fort Collins, CO 80528-9579 |
| Heidi L Muller | Nurse Practitioner | Poudre Valley Health Care Inc | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 |
| Ian J Lewis | Psychiatry | Poudre Valley Health Care Inc | 4601 Corbett Dr, Fort Collins, CO 80528-9579 |
| Street Address |
1025 PENNOCK PLACE |
| City | FORT COLLINS |
| State | CO |
| Zip | 80524-3257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Smith | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Alexa L Litel | Emergency Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Roger P Bermingham | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Kathryn M S David | Nurse Practitioner | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Janell R Wozniak | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Brittany Sater | Nurse Practitioner | Poudre Valley Health Care Inc | 1025 Pennock Place, Suite 121, Fort Collins, CO 80524-3257 |
| Russell D Jones | Nurse Practitioner | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Richard Harrison-atlas | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Kristin K Andreen | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Suite 111, Fort Collins, CO 80524-3257 |
| Casey Dluhos-sebesto | Family Medicine | Poudre Valley Health Care Inc | 1025 Pennock Place, Fort Collins, CO 80524-3257 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Traci Wilke | Physician Assistant | Dermatology of Northern Colorado P.C. | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80524 |
| Renee T Dutcher | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Stephanie J Speetzen | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lori Jean Croft | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Allison Margaret Oleary Williams | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Amy Jeanne Hartley | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lindsay B Wilson | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Carole Way | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Chelsea N Andrews | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Charles L Miller | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Find all physicians in zip 80524 | |||
| City | FORT COLLINS |
| Zip Code | 80524 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT COLLINS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diana Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.