MRS. JACQUELINE DIANE ROSS (NPI# 1033533922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033533922 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE DIANE ROSS |
| Credential | ATC |
| Practice Address |
12509 Pleasant Forest Dr Little Rock AR 72212-2214 |
| Practice Telephone | 4792000417 |
| Mailing Telephone | 4792000417 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT 604 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770916165 | Jacqueline Rochelle Ross | Counselor | 1139 Leavitt Ave, Unit 210, Flossmoor, IL 60422-1550 | 2013-08-20 |
| 1881942712 | Jacqueline Ross | Home Health Aide | 1420 K St Nw Fl 7, Washington, DC 20005-2500 | 2012-08-27 |
| 1003940297 | Jacqueline J Ross | Physical Therapy Assistant | 1 Diane Dr, Fort Ashby, WV 26719-0686 | 2007-03-16 |
| 1639717457 | Jacqueline Ross | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-12-11 |
| 1831654631 | Jacqueline Ross | Behavior Technician | 400 Nola Ruth Blvd, Harker Heights, TX 76548-1549 | 2019-02-05 |
| 1568998417 | Jacqueline Marie Ross | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 | 2017-05-11 |
| 1659674109 | Jacqueline M. Ross | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2010-12-06 |
| 1295055150 | Jacqueline Ross | Allergy & Immunology | 802 W Park Ave, Suite 213, Ocean, NJ 07712-8527 | 2010-06-02 |
| 1609038009 | Jacqueline Ross | Family Medicine | 429 N York St, Elmhurst, IL 60126-2003 | 2008-06-26 |
| Street Address |
12509 PLEASANT FOREST DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952893554 | Corinna Alysia Papps | Specialist/Technologist | 104 Buckland Pl, Little Rock, AR 72223-4567 | 2018-05-31 |
| 1124535075 | Alexandra Glenn | Specialist/Technologist | 15 Ridgehaven Ct, Little Rock, AR 72211-2253 | 2018-01-01 |
| 1396255030 | Jessica Sandbulte | Specialist/Technologist | 1942 Log Ave, Little Rock, IA 51243-7514 | 2017-10-09 |
| 1982129235 | Zania Lafaye Stewart | Specialist/Technologist | 1621 Dr Martin Luther King Dr, Little Rock, AR 72202-6068 | 2017-08-08 |
| 1326498080 | Kellye O'neal | Specialist/Technologist | 13420 David O Dodd Rd, Little Rock, AR 72210-2724 | 2016-06-14 |
| 1679922553 | Madeline Awtrey | Specialist/Technologist | 11900 Pleasant Ridge Rd, Apt. #1324, Little Rock, AR 72223-2348 | 2016-06-10 |
| 1386091031 | Tim Driedric | Specialist/Technologist | 3400 S. Bowman Rd. Apt 812, Little Rock, AR 72211 | 2016-05-23 |
| 1477955524 | Matthew Holt | Specialist/Technologist | 10815 Colonel Glenn Rd, Little Rock, AR 72204-8011 | 2014-09-19 |
| 1427261114 | Brian E Mahoney | Specialist/Technologist | 8907 Kanis Road, Ste. 400, Little Rock, AR 72205 | 2007-05-08 |
| 1598807380 | Tara Beth Mcdaniel | Specialist/Technologist | 1701 Cantrell Rd, Little Rock, AR 72201-1111 | 2007-02-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on MRS. JACQUELINE DIANE ROSS.
| 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.