JACQUELINE W KABUKURU (NPI# 1386047199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386047199 |
| Entity Type | Individual |
| Full Name | JACQUELINE W KABUKURU |
| Credential | NP |
| Practice Address |
6554 Aaron Aronov Dr Fairfield AL 35064-1823 |
| Practice Telephone | 2057865022 |
| Practice Fax Number | 2057865028 |
| Mailing Telephone | 2057865022 |
| Mailing Fax Number | 2057865028 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-125255 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | TAXONOMY | 261Q00000X. | 01 |
| Street Address |
6554 AARON ARONOV DR |
| City | FAIRFIELD |
| State | AL |
| Zip Code | 35064-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306814405 | James Francis Delong | Internal Medicine | 6554 Aaron Aronov Dr, American Family Care Inc, Fairfield, AL 35064 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553181 | Arrie Lee Bickerstaff | Technician | 7109 Westmoreland Drive, Fairfield, AL 35064 | 2019-08-14 |
| 1053724252 | Mobile Medicine of Alabama | Clinic/Center | 7070 Aaron Aronov Drive, Suite 88, Fairfield, AL 35064 | 2014-06-05 |
| 1952545063 | Toxey Edward Dorsett | Dentist | 325 Valley Road, Fairfield, AL 35064 | 2009-04-21 |
| 1962536250 | John C Sparks | Chiropractor | 7070 Aronov Dr, Suite E, Fairfield, AL 35064 | 2007-03-16 |
| 1932294709 | Allen W Kessler | Dentist | 316 Valley Road, Fairfield, AL 35064 | 2006-10-04 |
| 1982706396 | The Eyecare Place | Technician/Technologist | 5011 Gary Ave., Fairfield, AL 35064 | 2006-09-05 |
| 1336678044 | Stephanie Bennett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-06 |
| 1427587088 | Dequarus Terrell Nevett | Specialist | 407 Fairfax Dr Apt 32, Fairfield, AL 35064-1063 | 2017-06-07 |
| 1841315298 | Cheryl Jeanne Szabo | Specialist | 5700 Valley Rd, Fairfield, AL 35064-1218 | 2007-03-21 |
| 1578601183 | Bruce Stephen Cusic | Dentist | 6200 Ej Oliver Blvd, Suite 95, Fairfield, AL 35064-1299 | 2007-02-03 |
| Find all providers in zip 35064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724168 | Baljit Dhillon | Nurse Practitioner | 5140 Duren Cir, Fairfield, CA 94533-8978 | 2020-06-12 |
| 1164083168 | Michelle Setliff | Nurse Practitioner | 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 | 2019-06-21 |
| 1528545845 | Gerarda Pires | Nurse Practitioner | 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 | 2018-07-20 |
| 1063904407 | Peter Nicholas Brehmer | Nurse Practitioner | 239 Greenfield St, Fairfield, CT 06825-4401 | 2018-06-01 |
| 1447765698 | Mae Jennifer Le | Nurse Practitioner | 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 | 2017-12-11 |
| 1093168825 | Elizabeth Sarah Carson | Nurse Practitioner | 4910 Fairfield Rd, Fairfield, PA 17320-9510 | 2016-07-17 |
| 1083061550 | Tammera Phipps | Nurse Practitioner | 1168 N Frieda Dr, Fairfield, OH 45014-3316 | 2016-05-15 |
| 1700250883 | Aneet K Grewal | Nurse Practitioner | 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 | 2015-11-30 |
| 1104200716 | Latonia Yvette Cushingberry | Nurse Practitioner | 154 Twin Lakes Dr, Fairfield, OH 45014-5257 | 2015-07-13 |
| 1831518398 | Prompt Care Healthcare Solutions On The Go, Plc | Nurse Practitioner | 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 | 2014-04-14 |
| Find all providers in FAIRFIELD | ||||
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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.