DR. JENNIFER ROSE DECKER (NPI# 1104092113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104092113 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ROSE DECKER |
| Credential | DPM |
| Practice Address |
107 E Watts St Enterprise AL 36330-2511 |
| Practice Telephone | 3343101706 |
| Mailing Telephone | 3343101706 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2018-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO3855 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 328 | AL | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 000853 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 016005364 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 204 Luds Way, Dothan, AL 363036350 | 3346787036 | 3347024208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509425 | Jennifer Decker | Counselor | 119 W Packer Ave, Sayre, PA 18840-2097 | 2020-08-17 |
| 1518201284 | Jennifer D Decker | Physician Assistant | 1101 26th St S Fl 5, Great Falls, MT 59405-5161 | 2012-11-19 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1598307985 | Jennifer Decker | Occupational Therapist | 70 Dubois St, Newburgh, NY 12550-4851 | 2019-10-17 |
| 1568945624 | Jennifer Marie Decker | Occupational Therapist | 31215 Novi Rd, Novi, MI 48377-4515 | 2018-09-13 |
| 1124532312 | Jennifer Decker | Counselor | 1785 Big Hill Rd, Dayton, OH 45439-2219 | 2017-11-27 |
| 1760807598 | Jennifer Decker | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2014-03-04 |
| 1447692645 | Jennifer Marie Decker | Marriage & Family Therapist | 730 Cleveland Ave S, Saint Paul, MN 55116-1345 | 2013-07-29 |
| 1710247333 | Jennifer Sue Decker | Social Worker | 550 Summit Ave, Troy, OH 45373-3047 | 2012-05-17 |
| 1770880940 | Jennifer Decker | Pharmacist | 2363 Boundary St, Beaufort, SC 29902-3735 | 2011-02-23 |
| Street Address |
107 E WATTS ST |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060452 | Southern Hearing Associates, Inc. | Hearing Instrument Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2005-11-17 |
| 1457818627 | Ashton Thornton White | Hearing Instrument Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2019-02-25 |
| 1093279713 | Upperline Healthcare, PC | Podiatrist | 107 E Watts St, Enterprise, AL 36330-2511 | 2019-01-27 |
| 1093207748 | Kelsey Twedt | Hearing Instrument Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2018-05-30 |
| 1609246826 | Ronnie White | Hearing Instrument Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2015-09-30 |
| 1538560172 | Med-home Inc. | Durable Medical Equipment & Medical Supplies | 107 E Watts St, Enterprise, AL 36330-2511 | 2014-09-15 |
| 1851631790 | Jason Charles White | Hearing Instrument Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2013-02-28 |
| 1356512933 | Amy B Kennedy | Audiologist | 107 E Watts St, Enterprise, AL 36330-2511 | 2008-03-21 |
| 1447433131 | Timothy D. Toomey | Hearing Instrument Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2007-12-17 |
| 1487708731 | Southeastern Ent, P.C. | Specialist | 107 E Watts St, Enterprise, AL 36330-2511 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396032280 | Lincoln V Lowe | Podiatrist | 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 | 2011-06-30 |
| 1679666242 | Chet J. Vahovius, Dpm, PC | Podiatrist | 805 E. Lee St, Suite A, Enterprise, AL 36330 | 2006-10-02 |
| 1952873283 | Wiregrass Podiatry LLC | Podiatrist | 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 | 2018-12-27 |
| 1902821895 | Chet J Vahovius | Podiatrist | 805 E Lee St, Suite A, Enterprise, AL 36330-2093 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558876847 | Pampered Podiatry Nurturing Nails & Foot Care | Podiatrist | 1219 Jordan Ln Nw, Huntsville, AL 35816-3000 | 2017-12-07 |
| 1487063731 | Leeds Podiatry LLC | Podiatrist | 1628 9th St, Ste 112, Leeds, AL 35094-4140 | 2014-08-11 |
| 1720355670 | Family Footcare LLC | Podiatrist | 4358 Midmost Dr, Suite B, Mobile, AL 36609-5510 | 2011-11-21 |
| 1528346145 | Kristen Nicole Murray | Podiatrist | 2116 Chapel Hill Road, Birmingham, AL 35216 | 2011-07-31 |
| 1972806867 | Hayneville Podiatry Clinic | Podiatrist | 221 Hayneville Plaza, Hayneville, AL 36040-0190 | 2010-12-15 |
| 1447483961 | Narrows Podiatry LLC | Podiatrist | 153 Narrows Parkway, Suite 102, Birmingham, AL 35242 | 2009-09-01 |
| 1780812628 | Birmingham Podiatry, P.C. | Podiatrist | 227 1st St N, Alabaster, AL 35007-8767 | 2009-06-30 |
| 1821238718 | Complete Foot Care LLC | Podiatrist | 411 Reston Dr, Tuscaloosa, AL 35406-2043 | 2009-03-05 |
| 1043456254 | Trussville Foot Care Center PC | Podiatrist | 1930 Edwards Lake Rd, Suite 138, Birmingham, AL 35235-3718 | 2008-12-18 |
| 1598900615 | Mulberry Foot Care, LLC | Podiatrist | 1620 Mulberry St, Montgomery, AL 36106-1522 | 2008-12-03 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on DR. JENNIFER ROSE DECKER.
| 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.