DR. CHEEDY JAJA (NPI# 1235764580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235764580 |
Entity Type | Individual |
Full Name | DR. CHEEDY JAJA |
Credential | PHD, MSN, PMHNP-BC |
Practice Address |
College of Nursing 1601 Greene Street Columbia SC 29208-0001 |
Mailing Address |
2038 Lake Murray Blvd Apt 11303 Columbia SC 29212-0851 |
Practice Telephone | 8037770472 |
Mailing Telephone | 9412102508 |
Enumeration Date | 2020-03-06 |
Last Update Date | 2020-03-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 22293A | SC | Nursing Service Providers |
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
222993 | SC | Nursing Service Providers |
Street Address |
COLLEGE OF NURSING 1601 GREENE STREET |
City | COLUMBIA |
State | SC |
Zip Code | 29208-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
1003161696 | Toni Marie Torres-mcgehee | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center 218, Columbia, SC 29208 | 2012-07-19 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
1568019099 | Jennifer Cross | Counselor | 1401 Devine St Thomson Building 4th Floor, Columbia, SC 29208-0001 | 2019-08-20 |
Find all providers in zip 29208 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578185369 | Marion Johnson | Registered Nurse | 9633 Clocktower Ln, Columbia, MD 21046-1877 | 2020-05-14 |
1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
1689122640 | Chanelle M Johnson | Registered Nurse | 217 Gateway Ln, Columbia, SC 29210-7452 | 2016-09-19 |
1871980763 | Bertha Ansley | Registered Nurse | 10775 Bridlerein Ter, Columbia, MD 21044-3650 | 2015-04-19 |
1356631022 | Henretta Nesbitt Milton | Registered Nurse | 105 Saddleridge Rd, Columbia, SC 29223-4245 | 2011-04-14 |
1427378157 | Nekesha Lashae Archie | Registered Nurse | 2020 Hampton St, 3rd Floor, Columbia, SC 29204-1002 | 2010-06-04 |
1750575338 | Fredrick J. Astle | Registered Nurse | 2638 Two Notch Road, Suite 110, Columbia, SC 29204 | 2007-08-28 |
1942330014 | Jason Matthew Tallman | Registered Nurse | 109 Kensington Pl, Columbia, TN 38401-8885 | 2007-03-06 |
1093878191 | Larry Randolph Jackson | Registered Nurse | 615 Rapids Rd, Columbia, SC 29212-3024 | 2006-12-19 |
1477629582 | Nancy Ragan Canaday | Registered Nurse | 2715 Colonial Drive, Columbia, SC 29203 | 2006-11-28 |
Find all providers in COLUMBIA |
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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.