CARA T JACKSON (NPI# 1265088355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265088355 |
| Entity Type | Individual |
| Full Name | CARA T JACKSON |
| Practice Address |
110 S Main St Boiling Springs NC 28017-9797 |
| Practice Telephone | 7044064000 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295149094 | Cara Jackson | Speech-Language Pathologist | 1906 Fairview Ave Ste 330, Caldwell, ID 83605-5425 | 2014-06-19 |
| 1578007100 | Cara Jackson | Occupational Therapist | 3823 E State Road 64, Bradenton, FL 34208 | 2016-12-16 |
| Street Address |
110 S MAIN ST |
| City | BOILING SPRINGS |
| State | NC |
| Zip Code | 28017-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032355 | Kristopher Ryan Kohout | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-08-03 |
| 1366051450 | Raquel Coias Rubin | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-24 |
| 1396353835 | Rachel Elizabeth Howard | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-21 |
| 1801404066 | Michelle Evans Beaman | Family Medicine | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-14 |
| 1740808906 | Mary Ford | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-13 |
| 1790302123 | Steven M Popper | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-01 |
| 1104449024 | Nathan Nevil Howard | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-05-27 |
| 1417570235 | Cassondra Walker | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-05-27 |
| 1154977916 | Kelli S Daughtry | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-16 |
| 1225684244 | Krishan Raj Kumar | Student in an Organized Health Care Education/Training Program | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076794 | Jessica R Littleton | Physician Assistant | Gardner Webb University College of Health Sciences, 315 W College Ave, Boiling Springs, NC 28017 | 2020-06-02 |
| 1851947691 | Jennifer Kaitlyn Halama | Physician Assistant | 315 W College Avenue, Boiling Springs, NC 28017 | 2019-08-16 |
| 1730436932 | Tina Hawkins Wesson | Pharmacist | 105 E. College Ave, Boiling Springs, NC 28017 | 2012-08-07 |
| 1356617880 | Tonya Lynn Gantt | Pharmacist | 105 East College Avenue, Boiling Springs, NC 28017 | 2012-03-29 |
| 1558697730 | Crawley Memorial Hospital | Pharmacy | 315 West College Ave., Boiling Springs, NC 28017 | 2009-10-23 |
| 1881798072 | Crawley Memorial Hospital Inc | General Acute Care Hospital | 315 W College Ave, Boiling Springs, NC 28017 | 2006-09-11 |
| 1649897257 | Emily Elizabeth Sandlin | Physician Assistant | 315 West College Ave, Boiling Springs, NC 28017 | 2020-06-30 |
| 1144876186 | Morgan Durand | Physician Assistant | 315 W College Ave, Boiling Spring, NC 28017 | 2019-08-15 |
| 1316593668 | Nicholas Sottile | Physician Assistant | 315 W College Ave, Boiling Springs, NC 28017 | 2019-08-13 |
| 1316502677 | Erica Crockett | Physician Assistant | 315 W College Ave, Boiling Springs, NC 28017 | 2019-05-02 |
| Find all providers in zip 28017 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076794 | Jessica R Littleton | Physician Assistant | Gardner Webb University College of Health Sciences, 315 W College Ave, Boiling Springs, NC 28017 | 2020-06-02 |
| 1740732064 | Brianna Parker Reamer | Physician Assistant | 2746 Boiling Springs Rd, Boiling Springs, SC 29316-6003 | 2016-11-03 |
| 1801093828 | Pamela Lee Ivey | Physician Assistant | 110 Parris Bridge Road, Boiling Springs, SC 29316 | 2007-07-02 |
| 1164032355 | Kristopher Ryan Kohout | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-08-03 |
| 1366051450 | Raquel Coias Rubin | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-24 |
| 1790302123 | Steven M Popper | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2020-07-01 |
| 1649897257 | Emily Elizabeth Sandlin | Physician Assistant | 315 West College Ave, Boiling Springs, NC 28017 | 2020-06-30 |
| 1497301311 | Jennifer Rose Stancroff | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| 1073169090 | Nathan Vogels | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-15 |
| 1710533807 | Mario Michael Misseha | Physician Assistant | 110 S Main St, Boiling Springs, NC 28017-9797 | 2019-08-14 |
| Find all providers in BOILING SPRINGS | ||||
| City | BOILING SPRINGS |
| Zip Code | 28017 |
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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.