NICHOLAS JACKSON


Address: 1325 Williams St, Adrian, MI 49221-2563
Phone: 5172655161

NICHOLAS JACKSON (NPI# 1306476619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers NICHOLAS JACKSON

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

Office Location

Street Address 1325 WILLIAMS ST
City ADRIAN
State MI
Zip Code 49221-2563

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ADRIAN
Zip Code 49221

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Dataset Information

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.

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