MISS KELSEY LYNEE JACKSON (NPI# 1417440686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417440686 |
| Entity Type | Individual |
| Full Name | MISS KELSEY LYNEE JACKSON |
| Credential | DOCTOR CHIROPRACTIC |
| Practice Address |
1904 1/2 W Bristol Ave Tampa FL 33606-2812 |
| Practice Telephone | 9372160100 |
| Mailing Telephone | 9372160100 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12503 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 521 S Greenlee Rd, Troy, OH 453738306 | 9372160100 | |
| 219 17th St N, St Petersburg, FL 337138920 | 9372160100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568799 | Kelsey Winn Jackson | Speech-Language Pathologist | 534 Perry Farm Rd Sw, Cave Spring, GA 30124-3024 | 2019-09-24 |
| 1306360250 | Kelsey E Jackson | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-08-02 |
| 1053787572 | Kelsey Jackson | Occupational Therapist | 3901 Beaubien St, Detroit, MI 48201 | 2015-08-19 |
| 1982084976 | Kelsey Jackson | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303 | 2015-06-04 |
| 1497132344 | Kelsey Jackson | Occupational Therapy Assistant | 860 Highway 62 E Ste 10, Mountain Home, AR 72653-3200 | 2015-04-29 |
| 1457653636 | Kelsey Elizabeth Jackson | Audiologist | 2001 Hayes St, Nashville, TN 37203-2324 | 2010-11-22 |
| Street Address |
1904 1/2 W BRISTOL AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1780215798 | Rachel Emma Marr | Chiropractor | 2901 W Busch Blvd Ste 910, Tampa, FL 33618-4573 | 2020-01-29 |
| 1023648656 | Dia Laurencia Carter | Chiropractor | 106 S Armenia Ave, Tampa, FL 33609-3308 | 2020-01-23 |
| 1205466455 | Grant Elliott | Chiropractor | 317 N Dale Mabry Hwy, Tampa, FL 33609-1238 | 2020-01-16 |
| 1740810860 | Mikkel Bahamondes | Chiropractor | 5830 Memorial Hwy Apt 1401, Tampa, FL 33615-5064 | 2020-01-16 |
| 1912548355 | Az Medical Center, LLC | Chiropractor | 3911 W Waters Ave Ste 13, Tampa, FL 33614-1950 | 2019-10-07 |
| 1710530977 | Jonathan Moukhtafi | Chiropractor | 16210 Saint Michelle Ct, Tampa, FL 33647-5100 | 2019-07-17 |
| 1215599014 | Christopher Bush | Chiropractor | 12233 N Florida Ave Ste 200, Tampa, FL 33612-4270 | 2019-07-01 |
| 1396220562 | Jesse Law | Chiropractor | 110 S Manhattan Ave Apt 68, Tampa, FL 33609-3877 | 2018-10-03 |
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| Find all providers in TAMPA | ||||
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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.