DR. THERESA DODDATO (NPI# 1326007881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326007881 |
Entity Type | Individual |
Full Name | DR. THERESA DODDATO |
Credential | RN, PH.D |
Practice Address |
1207 N West St Jackson MS 39202-2018 |
Mailing Address |
130 Waterwood Dr Brandon MS 39047-6527 |
Practice Telephone | 6013546654 |
Practice Fax Number | 6013546289 |
Mailing Telephone | 6019191631 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
R856512 | NY | Nursing Service Providers |
Street Address |
1207 N WEST ST |
City | JACKSON |
State | MS |
Zip Code | 39202-2018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316906308 | Joyce Brewer | Nurse Practitioner | 1207 N West St, Jackson, MS 39202-2018 | 2006-03-20 |
1396017646 | Mary K Fouquier | Nurse Practitioner | 1207 N West St, Jackson, MS 39202-2018 | 2012-02-02 |
1902854706 | Janet R Cooper | Registered Nurse | 1207 N West St, Jackson, MS 39202-2018 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
Find all providers in zip 39202 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275691008 | Karen Metsger Cooper | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346510450 | Quality Care Staffing | Registered Nurse | 333 Yazoo St, Lexington, MS 39095-3644 | 2012-01-05 |
1215035985 | Robin Delain Greene-brownlee | Registered Nurse | 9824 Highway 42, Richton, MS 39476-8885 | 2006-09-20 |
1427421528 | Correal J Garrison | Registered Nurse | 216 Oxford Rd, New Albany, MS 38652-3115 | 2015-11-11 |
1174908420 | Melody Horton-drummond | Registered Nurse | 1800 Beach Dr, Gulfport, MS 39507-1553 | 2015-07-28 |
1891105466 | Robin Thompson | Registered Nurse | 201 Independence, Columbus, MS 39710-5300 | 2014-05-05 |
1336559525 | Melissa Lesley Mouchette | Registered Nurse | 201 Independence, Columbus, MS 39710-5300 | 2014-04-28 |
Please comment or provide details below to improve the information on DR. THERESA DODDATO.
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.