CHRISTIANA MARIE JACKSON


Address: 10397 State Route 155 Se, Corning, OH 43730-9710
Phone: 7403942426

CHRISTIANA MARIE JACKSON (NPI# 1396392684) 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) 1396392684
Entity Type Individual
Full Name CHRISTIANA MARIE JACKSON
Credential AT
Practice Address 10397 State Route 155 Se
Corning
OH 43730-9710
Mailing Address 366 Richland Ave Apt 5119
Athens
OH 45701-3262
Practice Telephone 7403942426
Enumeration Date 2019-08-21
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2782968 OH Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH ALLIED HEALTH PROFESSIONAL LIABILITY 2782968 01

Office Location

Street Address 10397 STATE ROUTE 155 SE
City CORNING
State OH
Zip Code 43730-9710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164997995 Karen Sue Hand Speech-Language Pathologist 10397 State Route 155 Se, Corning, OH 43730-9710 2018-10-08
1548663701 Alaina Ruth Lindamood Speech-Language Pathologist 10397 State Route 155 Se, Corning, OH 43730-9710 2014-10-02
1215352794 Ann Hinkle Speech-Language Pathologist 10397 State Route 155 Se, Corning, OH 43730-9710 2014-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184274193 Whitney N Starlin Occupational Therapy Assistant 113 Chestnut St. Se, Corning, OH 43730 2019-09-12
1124598867 Rebecca Sue Doughty Registered Nurse 169 Jones Street, Corning, OH 43730 2018-11-26
1457565103 Village of Corning Ambulance 107 E Main St, Corning, OH 43730 2007-05-10
1063807915 Residential Nursing Care LLC Home Health 114 Thresher St., Post Office Box 110, Corning, OH 43730-0110 2015-03-30
1598160657 Desirea Perani Licensed Practical Nurse 136 Chestnut Street, Corning, OH 43730-0217 2014-10-30
1629358353 Martha Williams Giffin Home Health Aide 7833 Township Road 331 Se, Corning, OH 43730-9505 2011-08-25
1457829079 Leray Marie Oliver Case Manager/Care Coordinator 7585 Township Road 331 Se, Corning, OH 43730-9702 2018-11-13
1013203678 Theresa D Dyer Licensed Practical Nurse 11482 Main St Se, Corning, OH 43730-9706 2011-06-22
1558579730 Kathy A Irvin Licensed Practical Nurse 4576 Irish Ridge Rd Se, Corning, OH 43730-9732 2007-05-19
1063070738 Stacey Marie Valentine Nurse Practitioner 3535 Township Road 293 Se, Corning, OH 43730-9757 2019-05-29
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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
1588116735 Colton Kampa Specialist/Technologist 183 Pearl St, Corning, NY 14830-3253 2016-11-03
1558488809 Meredith Anne Allen Specialist/Technologist 710 Solano St, Corning, CA 96021-3352 2007-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700486313 Jenifer Bojanowski Specialist/Technologist 1009 Parkleigh Rd, Columbus, OH 43220-4041 2020-11-01
1497355085 Stephanie Soja Specialist/Technologist 4170 State Route 43, Kent, OH 44240-6916 2020-11-01
1518566769 Hannah Dawn Bailey Specialist/Technologist 42338 State Route 7, Coolville, OH 45723-9519 2020-10-20
1790384949 Erin Ball Specialist/Technologist 1121 Faircrest St Sw, Canton, OH 44706-4850 2020-10-20
1427657675 Kacie Lucille Leppla Specialist/Technologist 6471 Township Road 346, Millersburg, OH 44654 2020-10-20
1144828815 Sarah Abelseth Specialist/Technologist 2547 Panther Dr Ne, New Lexington, OH 43764-1396 2020-10-14
1235737511 Kayla Marie Bartlett-ulrich Specialist/Technologist 1 University Dr # 128, Bluffton, OH 45817-2104 2020-10-09
1417554981 Abbigayle Gesler Specialist/Technologist 1211 Oakridge Ct, Wapakoneta, OH 45895-9464 2020-10-07
1851998421 Olivia A Saflund Specialist/Technologist 9514 Reiger Rd, Berlin Heights, OH 44814-9644 2020-10-06
1215534151 Lideja White Specialist/Technologist 12507 Marston Ave, Cleveland, OH 44105-5452 2020-10-05
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Competitor

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City CORNING
Zip Code 43730

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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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