MR. MICHAEL BEN JACKSON
NPI 1720199839
Nurse Practitioner - Psychiatric/Mental Health in Bremerton, WA

NPI Status: Active since August 31, 2006

Contact Information

925 ADELE AVE
BREMERTON, WA
ZIP 98312
Phone: (360) 782-0129
Fax: (360) 377-8029

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  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health

About MICHAEL JACKSON

This page provides the complete NPI Profile along with additional information for Michael Jackson, a provider established in Bremerton, Washington with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1720199839 assigned on August 2006. The practitioner's primary taxonomy code is 363LP0808X with license number AP30003880 (WA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1720199839
Provider Name
MR. MICHAEL BEN JACKSON
Gender
Male
Entity Type
Individual
Location Address
925 ADELE AVE BREMERTON, WA 98312
Location Phone
(360) 782-0129
Location Fax
(360) 377-8029
Mailing Address
220 NE LARSON LAKE RD BELFAIR, WA 98528
Mailing Phone
(360) 782-0129
Mailing Fax
(360) 377-8029
Is Sole Proprietor?
Yes
Enumeration Date
08-31-2006
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Michael Jackson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP30003880
License State
WA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720199839
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740291886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 9 + 1 + 8 + 8 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1720199839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326024860MR. DOUGLAS A JANACHEK RPH
Individual
Pharmacist925 ADELE AVE
BREMERTON, WA 98312
(360) 782-0129
1174632905MS. MAYA JEAN WILSON LICSW
Individual
Social Worker (Clinical)925 ADELE AVE
BREMERTON, WA 98312
(360) 782-0129
1487766721 SHELLY IRENE DANNEN RPH
Individual
Pharmacist925 ADELE AVE
BREMERTON, WA 98312
(360) 377-5786
1194817122 NASER H ORIA MD
Individual
General Practice925 ADELE AVE VAOC BREMERTON
BREMERTON, WA 98312
(360) 782-0129
1518049006MRS. PATRICIA A TAYLOR RN
Individual
Registered Nurse925 ADELE AVE
BREMERTON, WA 98312
(360) 782-0129
1124345178 SETA GHAZARIAN LICSW
Individual
Social Worker (Clinical)925 ADELE AVE
BREMERTON, WA 98312
(360) 782-0129
1225014640 DAVID C LU M.D.
Individual
Internal Medicine925 ADELE AVE
BREMERTON, WA 98312
(360) 782-0129
1780048249DR. CARRIE HOLTZMAN PH.D.
Individual
Psychologist925 ADELE AVE
BREMERTON, WA 98312
(360) 473-0341
1841200839 TAMMY TODD LISW
Individual
Social Worker (Clinical)925 ADELE AVE
BREMERTON, WA 98312
(360) 473-0348
1649282617DR. TERESE M SCHNEIDER DNP, PMHNP, PMHCNS
Individual
Nurse Practitioner (Psychiatric/Mental Health)925 ADELE AVE
BREMERTON, WA 98312
(360) 473-0346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720199839, enumerated in the NPI registry as an "individual" on August 31, 2006

The provider is located at 925 Adele Ave Bremerton, Wa 98312 and the phone number is (360) 782-0129

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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