JACQUELYN WHITE (NPI# 1003211319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003211319 |
| Entity Type | Individual |
| Full Name | JACQUELYN WHITE |
| Practice Address |
720 Wood St Eureka CA 95501-4413 |
| Mailing Address |
3960 Walnut Dr Eureka CA 95503-8938 |
| Practice Telephone | 7072682990 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
102856 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3960 Walnut Dr, Eureka, CA 955038938 | 7072688722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486489 | Jacquelyn A White | Community Health Worker | 15 Farrell St, Quincy, MA 02169-1807 | 2008-08-07 |
| 1699949792 | Jacquelyn Marie White | Counselor | 2311 Fortune Dr Ste 201, Lexington, KY 40509-4118 | 2008-04-18 |
| 1588715346 | Jacquelyn N. White | Counselor | 1204 Bent Oaks Ct, Suite 100, Denton, TX 76210-8000 | 2007-01-16 |
| 1629186812 | Jacquelyn Kibodeaux White | Emergency Medicine | 4001 Ridgemont St, Ruston, LA 71270-9596 | 2006-08-28 |
| 1447259064 | Jacquelyn V White | Nurse Practitioner | 6150 E Broad St, Columbus, OH 43213 | 2005-07-15 |
| 1629682554 | Jacquelyn Smith White | Social Worker | 301 N 9th St, Richmond, VA 23219-1933 | 2020-09-08 |
| 1811463102 | Jacquelyn Y White | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1090 | 2018-10-15 |
| 1255707865 | Jacquelyn Lachelegilchrist White | Physical Therapist | 1000 Lenox Park Blvd Ne, Brookhaven, GA 30319-5827 | 2015-08-18 |
| 1801135561 | Jacquelyn Lee White | Physician Assistant | 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076-3378 | 2013-01-31 |
| Street Address |
720 WOOD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
| 1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
| 1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205233186 | Katie Woerner | Counselor | 427 F St Ste 229, Eureka, CA 95501 | 2014-11-20 |
| 1750539755 | Charla Rowe | Counselor | 930 6th St, Eureka, CA 95501 | 2008-09-03 |
| 1497938872 | Ruth M. Richards-schlarman | Counselor | 540 4th Ave. East, Eureka, MT 59917-0814 | 2007-12-09 |
| 1346422672 | Concepcion Leona Sousa | Counselor | 2145 Myrtle Ave, Eureka, CA 95501 | 2007-11-28 |
| 1407055924 | Michael T Countryman | Counselor | 412 N Saint Nicholas St, Eureka, KS 67045-1857 | 2007-07-13 |
| 1316161003 | Karen Kuulei Fowler | Counselor | 1650 Sinclair Creek Rd, Eureka, MT 59917-9654 | 2007-04-12 |
| 1114054368 | Linda E. Dean | Counselor | 2002 Russ St, Eureka, CA 95501-4718 | 2007-02-27 |
| 1578699260 | Redwood Community Action Agency | Counselor | 1100 California Street, Eureka, CA 95501 | 2007-02-26 |
| 1912040502 | Kimberly Jean Herkert | Counselor | 3525 Park St, Eureka, CA 95501-1549 | 2007-02-14 |
| 1184765265 | Jessica Ada Duke | Counselor | 134 D St, Suite 301, Eureka, CA 95501-0455 | 2007-02-09 |
| Find all providers in EUREKA | ||||
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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.