NICHOLAS JACKSON (NPI# 1306476619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306476619 |
Entity Type | Individual |
Full Name | NICHOLAS JACKSON |
Practice Address |
1325 Williams St Adrian MI 49221-2563 |
Mailing Address |
1612 W White St Champaign IL 61821-3018 |
Practice Telephone | 5172655161 |
Enumeration Date | 2020-01-26 |
Last Update Date | 2020-01-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578977559 | Nicholas T Jackson | Chiropractor | 99 Regency Pkwy Ste 211, Mansfield, TX 76063-7819 | 2014-06-17 |
1356954440 | Nicholas Jackson | Health Educator | 2500 North State St., Preventive Medicine Department, Jackson, MS 39216 | 2020-08-28 |
1528670916 | Nicholas Dwayne Jackson | Pharmacist | 201 Laurel Ave, Coeburn, VA 24293 | 2020-08-18 |
1245857945 | Nicholas Christopher Jackson | Physical Therapist | 6710 108th Ave Ne, Kirkland, WA 98033 | 2020-06-29 |
1750828554 | Nicholas Jeffrey Jackson | Nurse Practitioner | 701 S Olive Ave, 407, West Palm Beach, FL 33401-6104 | 2017-01-31 |
1205298387 | Nicholas Jackson | Surgery | 800 Rose St # C-246, Division of General Surgery, Lexington, KY 40536-7001 | 2016-03-28 |
1750765467 | Nicholas Jackson | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2015-07-13 |
1487052031 | Nicholas Jackson | Pharmacist | 941 Cherokee Dr Ste 1, Marshall, MO 65340-3646 | 2014-12-15 |
1538560651 | Nicholas Barclay Jackson | Student in an Organized Health Care Education/Training Program | 405 Central Ave, Northfield, IL 60093-3006 | 2014-09-08 |
1114234796 | Nicholas Jackson | Counselor | 2756 Post Rd, Warwick, RI 02886-3003 | 2010-09-03 |
Street Address |
1325 WILLIAMS ST |
City | ADRIAN |
State | MI |
Zip Code | 49221-2563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396193496 | Brigette Cameron | Student in an Organized Health Care Education/Training Program | 1325 Williams St, 1294 Caine Student Center, Adrian, MI 49221-2563 | 2016-05-30 |
1215541636 | Kaitlyn Nicole Probelski | Specialist/Technologist | 1325 Williams St, Adrian, MI 49221-2563 | 2020-09-02 |
1225593791 | Amy Goodman | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2019-02-08 |
1730644048 | Jason Croci | Specialist/Technologist | 1325 Williams St, Adrian, MI 49221-2563 | 2019-01-31 |
1396209078 | Kyle Schulz | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2019-01-26 |
1104380898 | Jolene Florence Pangani | Specialist/Technologist | 1325 Williams St, Adrian, MI 49221-2563 | 2019-01-26 |
1508330804 | Dakota Morgan | Specialist/Technologist | 1325 Williams St, Adrian, MI 49221-2563 | 2019-01-20 |
1235669433 | Micaela Dunbar-gaynor | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2017-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
Find all providers in zip 49221 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043824477 | Hannah Marie Heller | Specialist/Technologist | 1443 Inverness Dr, Adrian, MI 49221-1830 | 2020-09-02 |
1790399111 | Derek Andrew Plitt | Specialist/Technologist | 1325 Williams St # 2214, Adrian, MI 49221-2563 | 2020-09-02 |
1215563747 | Kelly-rae Amber Zdan | Specialist/Technologist | 940 Michigan Ave, Adrian, MI 49221-2546 | 2020-03-16 |
1346706843 | Hanna M Arntsen | Specialist/Technologist | 135 Renfrew Ave, Adrian, MI 49221-1807 | 2019-02-20 |
1457816209 | Meagan Coleman | Specialist/Technologist | 1325 Williams St # 995, Adrian, MI 49221-2563 | 2019-02-06 |
1942765854 | Caroline Fleming | Specialist/Technologist | 1325 Williams St # 2090, Adrian, MI 49221-2563 | 2019-02-05 |
1912412651 | Leah J Gomez | Specialist/Technologist | 785 Riverside Ave, Adrian, MI 49221-1467 | 2017-12-04 |
1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
1225568660 | Matt Scherer | Specialist/Technologist | 1325 Williams St # 1355, Adrian, MI 49221-2563 | 2017-06-18 |
1134526593 | John Goetschius | Specialist/Technologist | 202 Stratford Drive, Adrian, MI 49221-1295 | 2014-12-01 |
Find all providers in ADRIAN |
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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.