KELSEY ROSE EACKLES (NPI# 1033733878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033733878 |
| Entity Type | Individual |
| Full Name | KELSEY ROSE EACKLES |
| Practice Address |
1 Ohio University Department of Psychology Porter Hall Room 002 Athens OH 45701 |
| Mailing Address |
1 Ohio University Department of Psychology Porter Hall Room 002 Athens OH 45701-2942 |
| Practice Telephone | 7405930902 |
| Practice Fax Number | 7405934790 |
| Mailing Telephone | 7405930902 |
| Mailing Fax Number | 7405934790 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 OHIO UNIVERSITY DEPARTMENT OF PSYCHOLOGY PORTER HALL ROOM 002 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| 1346755048 | Elyse Suhay | Music Therapist | Robert Glidden Hall, Ohio University, Athens, OH 45701 | 2017-12-05 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1912522996 | Robert Michael Hewgley | Student in an Organized Health Care Education/Training Program | 460 County Road 603, Athens, TN 37303-6266 | 2020-06-15 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1063031342 | Francisca Gonzalez | Student in an Organized Health Care Education/Training Program | 25203 Airport Rd, Athens, AL 35614-6006 | 2020-04-15 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1164059317 | Ling Fang Guo | Student in an Organized Health Care Education/Training Program | 204 Grosvenor Hl, Athens, OH 45701-1775 | 2020-03-26 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1861045809 | Taylor Kathryn Hallenbeck | Student in an Organized Health Care Education/Training Program | 198 Bonita Hills Rd, Athens, GA 30605-4629 | 2019-07-18 |
| 1811559750 | Prakash Adhikari | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave Ste 70, Athens, GA 30606-2797 | 2019-07-01 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| Find all providers in ATHENS | ||||
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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.