JACQUELINE MERRILL (NPI# 1093316747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093316747 |
| Entity Type | Individual |
| Full Name | JACQUELINE MERRILL |
| Credential | APRN |
| Practice Address |
1000 Industrial Dr Owensboro KY 42301-8715 |
| Practice Telephone | 2706896500 |
| Mailing Telephone | 2706896500 |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3014040 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
1000 INDUSTRIAL DR |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548201379 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Hospital | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2006-06-10 |
| 1568061901 | Molly Meszaros | Social Worker | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2020-10-17 |
| 1356827760 | Tyler Scott Winklepleck | Social Worker | 1000 Industrial Dr, Owensboro, KY 42301 | 2018-07-18 |
| 1619489689 | Jackqueline Sue Easler | Nurse Practitioner | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2017-10-31 |
| 1619400298 | Olivia Nicole Winstead | Behavioral Analyst | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2017-04-10 |
| 1457623092 | Britney Carmona | Counselor | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2012-01-28 |
| 1316003361 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Hospital | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140911 | E.d. Mills, Pllc | Family Medicine | 722 W Byers Ave, Owensboro, KY 42303-6330 | 2019-12-10 |
| 1194360578 | Alex Jolly | Family Medicine | 425 E 20th St, Owensboro, KY 42303-3804 | 2019-11-09 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1942690250 | Owensboro Health Medical Group, Inc | Family Medicine | 2315 Mayfair Dr Ste 14, Owensboro, KY 42301-4557 | 2015-01-26 |
| 1023415601 | Jones Medical Corp Dba Bridgewater Medical Center | Family Medicine | 750 Salem Drive, Owensboro, KY 42303 | 2014-11-26 |
| 1801152434 | Steven Roby | Family Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-04-09 |
| 1861631947 | John A Walker II | Family Medicine | 1000 Breckenridge St Ste 401, Owensboro, KY 42303-0878 | 2009-02-12 |
| 1033276225 | Fred Thomas Tuttle | Family Medicine | 4106 Mason Woods Ln, Owensboro, KY 42303-7552 | 2007-01-03 |
| 1386739464 | Tamberly L Mccoy | Family Medicine | 2816 Veach Rd Ste 308, Owensboro, KY 42303-6297 | 2006-10-04 |
| Find all providers in OWENSBORO | ||||
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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.