JILLIAN BERKSHIRE (NPI# 1255703211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255703211 |
| Entity Type | Individual |
| Full Name | JILLIAN BERKSHIRE |
| Other Name | JILLIAN HARPER |
| Credential | NP-C |
| Practice Address |
4105 Holiday St Nw Canton OH 44718-2531 |
| Practice Telephone | 3304942097 |
| Practice Fax Number | 3304949750 |
| Mailing Telephone | 3304942097 |
| Mailing Fax Number | 3304949750 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.18268-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4105 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306890223 | Wilbert Williams | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2006-05-22 |
| 1336663608 | Felecia Nicole Kelley | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2017-07-28 |
| 1942685904 | Emily Rose Waight | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2015-07-20 |
| 1265774566 | Damien Eugene Earl | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718 | 2013-03-25 |
| 1629306022 | Angela M Rickard | Physician Assistant | 4105 Holiday St Nw, Neurocare Center, Canton, OH 44718-2531 | 2009-11-23 |
| 1407180144 | Neurocare Sleep Center | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2009-09-29 |
| 1326256462 | Ryan Stuart Drake | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-21 |
| 1437367570 | Jennifer A Drake | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-21 |
| 1760515308 | Vanessa Helen Worley | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-13 |
| 1891854006 | Kathleen Louise O'reilly | Nurse Practitioner | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875081 | Mohamed Jamal | Nurse Practitioner | 48485 River Way Dr, Canton, MI 48187-5622 | 2020-09-11 |
| 1851906713 | Anishaben Sheth | Nurse Practitioner | 46882 Torrey Hill Ct, Canton, MI 48187-4885 | 2020-09-08 |
| 1184240251 | Timothy John Mcginnis | Nurse Practitioner | 755 Stonehenge Dr, Canton, MI 48188-1257 | 2020-06-24 |
| 1952927477 | Alexandra Arzenshek | Nurse Practitioner | 1042 Creek Side Dr, Canton, GA 30115-8541 | 2020-06-20 |
| 1326663717 | Meghan Markham | Nurse Practitioner | 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 | 2020-06-11 |
| 1194348821 | Janet L Jarrette | Nurse Practitioner | 100 Generals Pl, Canton, GA 30114-5881 | 2020-05-28 |
| 1326685124 | Cicely Lashay Scott | Nurse Practitioner | 208 Winterbury Dr, Canton, GA 30114-1235 | 2019-11-30 |
| 1609410976 | Ashley N Decraene | Nurse Practitioner | 50153 Grant St, Canton, MI 48188-3480 | 2019-10-30 |
| 1194369587 | Lori Pulliam | Nurse Practitioner | 470 Northside Cherokee Blvd Ste 250, Canton, GA 30115-8015 | 2019-10-30 |
| 1437719192 | Ebone' Sade' Singleton | Nurse Practitioner | 124 Links Dr Apt 204k, Canton, MS 39046-5388 | 2019-06-15 |
| Find all providers in CANTON | ||||
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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.