TARA JACKSON (NPI# 1093169823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093169823 |
| Entity Type | Organization |
| Organization Name | TARA JACKSON |
| Practice Address |
104 G Corum Ln Auburn KY 42206-5000 |
| Practice Telephone | 2708477004 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | TARA JACKSON (DEVELOPMENTAL INTERVENTIONIST) |
| Authorized Official Telephone | 2708477004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
104 G CORUM LN |
| City | AUBURN |
| State | KY |
| Zip Code | 42206-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138428 | Kristina M Wimpee | Pharmacist | 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 | 2016-12-16 |
| 1477955888 | Heartland Family Pharmacy LLC | Pharmacy | 134 Sugar Maple Dr, Suite A, Auburn, KY 42206 | 2014-09-17 |
| 1265740765 | Logan Physician Practice, LLC | Nurse Practitioner | 128 Sugar Maple Drive, Auburn, KY 42206 | 2010-09-17 |
| 1326194986 | Barry W Stahl | Dentist | 104 East Main Street, Auburn, KY 42206 | 2007-01-26 |
| 1962867713 | Staples Health Clinic, LLC | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2015-12-21 |
| 1851549422 | Stacia Ashley Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2008-09-08 |
| 1386751709 | James Marvin Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2006-08-23 |
| 1164403564 | Bolster Health Care Group LLC | Skilled Nursing Facility | 139 Pearl St, Auburn, KY 42206-5121 | 2005-11-11 |
| 1013179969 | Cindy Pawley | Case Manager/Care Coordinator | 5210 Friendship Rd, Auburn, KY 42206-5201 | 2008-07-01 |
| 1063077519 | Amy Beth Canler | Early Intervention Provider Agency | 842 Rector Ave, Auburn, KY 42206-5219 | 2019-05-09 |
| Find all providers in zip 42206 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077519 | Amy Beth Canler | Early Intervention Provider Agency | 842 Rector Ave, Auburn, KY 42206-5219 | 2019-05-09 |
| 1144762063 | Jodi Mekeel | Early Intervention Provider Agency | 8 Dill Street, Auburn, NY 13021 | 2016-11-09 |
| 1417323676 | Karen Sarnicola | Early Intervention Provider Agency | 8 Dill St, Auburn, NY 13021-3606 | 2015-08-11 |
| 1962831735 | The Lois Renfro Foundation | Early Intervention Provider Agency | 105 M St Ne, Auburn, WA 98002-4430 | 2013-11-02 |
| 1053555656 | John F Murphy Homes, Inc. | Early Intervention Provider Agency | 800 Center St, Auburn, ME 04210-6404 | 2009-04-27 |
| 1700089240 | Cayuga County Early Intervention | Early Intervention Provider Agency | 8 Dill St, Auburn, NY 13021-3606 | 2007-06-11 |
| 1972716249 | Cayuga County Health Department-eisc | Early Intervention Provider Agency | 8 Dill St, Auburn, NY 13021-3606 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394278 | Communication Connections, LLC | Early Intervention Provider Agency | 6754 E Highway 60, Salt Lick, KY 40371-8980 | 2020-07-30 |
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1598318974 | Building Blocks Therapy Clinic | Early Intervention Provider Agency | 724 Harvard Dr, Owensboro, KY 42301-6152 | 2019-07-24 |
| 1053876987 | Family First Pediatric Therapy LLC | Early Intervention Provider Agency | 1109 Metalwood Dr, Bardstown, KY 40004-2635 | 2019-02-05 |
| 1437629532 | Little Lives Development, LLC | Early Intervention Provider Agency | 208 Woodline Dr, Somerset, KY 42503-6280 | 2018-11-30 |
| 1245724657 | Happy Heights Theray, LLC | Early Intervention Provider Agency | 6595 Cranston Rd, Morehead, KY 40351-7069 | 2018-06-19 |
| 1558850461 | Melissa Hall Therapy Services | Early Intervention Provider Agency | 65 Oak Log Crk, Van Lear, KY 41265-9000 | 2018-05-07 |
| 1427545714 | Lynda Williamson | Early Intervention Provider Agency | 33 Williamson Ln, Canada, KY 41519-8269 | 2018-04-23 |
| 1891208427 | Megan Parker Ot, LLC | Early Intervention Provider Agency | 538 Woodbine Dr, Lexington, KY 40503-1238 | 2017-11-06 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
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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.