JASON RANDOLPH DUNN (NPI# 1285000976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285000976 |
| Entity Type | Individual |
| Full Name | JASON RANDOLPH DUNN |
| Credential | PSYD |
| Practice Address |
701 Broad St Ste 350 Rome GA 30161-3092 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7622353640 |
| Practice Fax Number | 7062952062 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2020-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003716 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265546584 | Jason Allen Dunn | Pharmacy Technician | 1260 E Vine St, Salt Lake City, UT 84121 | 2006-08-17 |
| 1194385096 | Jason Tyler Dunn | Podiatrist | 1700 Wheeling St, Aurora, CO 80045-7211 | 2019-06-13 |
| 1356895916 | Jason W Dunn | Nurse Practitioner | 2608 Ring Rd Ste B107, Elizabethtown, KY 42701 | 2016-08-11 |
| 1346538154 | Jason A Dunn | Optometrist | 1607 Visa Dr, Suite 4, Normal, IL 61761-2137 | 2011-07-13 |
| 1932396405 | Jason Dunn | Surgery | 2253 Chambliss Ave Nw Ste 100, Cleveland, TN 37311-3861 | 2007-09-28 |
| 1881739100 | Jason Michael Dunn | Registered Nurse | 2507 Christie Drive, Marylhurst, OR 97036 | 2007-02-21 |
| Street Address |
701 BROAD ST STE 350 |
| City | ROME |
| State | GA |
| Zip Code | 30161-3092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760610190 | Gauri Goel | Psychologist | 1608 Anken St, Rome, NY 13440-2304 | 2009-06-24 |
| 1194885475 | Randell Leon Elkins Jr. | Psychologist | 701 Broad St Ste 350, Rome, GA 30161-3092 | 2006-12-09 |
| 1104984103 | John Azar-dickens | Psychologist | 106 E 5th Ave, Rome, GA 30161-3128 | 2006-12-04 |
| 1851460810 | Suzanne Marie Fischer | Psychologist | 104 E 5th Ave, Rome, GA 30161-3128 | 2006-11-06 |
| 1578539565 | Richard D. Hark | Psychologist | 225 Maplecrest Ln Se, Rome, GA 30161-5522 | 2006-02-28 |
| 1700355179 | Lauren Evelyn Reba-harrelson | Psychologist | 1345 Redmond Road, Rome, GA 30165 | 2018-11-15 |
| 1174979975 | Transitions Psychological and Consultative Services, LLC | Psychologist | 104 E 5th Ave, Rome, GA 30161-3128 | 2016-05-11 |
| 1457658437 | Carolyn Trish Jackson | Psychologist | 125 Brookley Rd, Rome, NY 13441-4301 | 2011-02-28 |
| 1851605083 | Candice Nicole Claiborne | Psychologist | 701 Broad St Ste 350, Rome, GA 30161-3092 | 2010-07-29 |
| 1093026601 | John Azar-dickens, Ph.d.,pc | Psychologist | 109 John Maddox Dr Nw, Rome, GA 30165-1451 | 2010-06-29 |
| Find all providers in ROME | ||||
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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.