JACQUELINE KING (NPI# 1457745135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457745135 |
| Entity Type | Individual |
| Full Name | JACQUELINE KING |
| Credential | R.N. |
| Practice Address |
196 E Emmitt Ave Waverly OH 45690-1334 |
| Practice Telephone | 4079476727 |
| Mailing Telephone | 4079476727 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
330473 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145439 | Jacqueline Yvonne King | Home Health Aide | 3727 Soft Wind Dr, Columbus, OH 43232-6533 | 2020-02-04 |
| 1982955928 | Jacqueline King | Nurse Practitioner | 7374 Nw 93rd Ave, Suite 204, Miami, FL 33173 | 2012-10-01 |
| 1639368871 | Jacqueline King | Dietitian, Registered | 3801 W Lake Ave Ste 200c, Glenview, IL 60026-5806 | 2007-10-23 |
| 1427253210 | Jacqueline King | Counselor | 5452 Floral Bluff Rd, Jacksonville, FL 32211-4513 | 2007-06-20 |
| 1184230401 | Jacqueline Elizabeth King | Nurse Practitioner | 300 Mack Rd, Asheboro, NC 27205-1066 | 2020-09-22 |
| 1093360125 | Jacqueline King | Speech-Language Pathologist | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2019-08-06 |
| 1043723877 | Jacqueline Denise King | Licensed Practical Nurse | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-11-15 |
| 1396117651 | Jacqueline King | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2015-10-27 |
| 1558764894 | Jacqueline King | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2014-10-01 |
| 1518360122 | Jacqueline King | Obstetrics & Gynecology | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2014-09-27 |
| Street Address |
196 E EMMITT AVE |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113237 | Tabitha Renee Craft | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2020-01-13 |
| 1740838531 | Whitley Ariel Tackett | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-08-27 |
| 1184270357 | Tiffany Lynn Noble | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-08-14 |
| 1568027514 | Samantha Brooke Sylvester | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-05-06 |
| 1578127551 | Heather Vitura Mae Seymour I | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-04-25 |
| 1306309513 | Kacey Decot | Counselor | 196 E Emmitt Ave, Waverly, OH 45690 | 2019-04-13 |
| 1528526456 | Angela Nada Hereford | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-03-11 |
| 1396200127 | Victoria Ann Howard | Licensed Practical Nurse | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-02-06 |
| 1306320981 | Tatiana Mitchell | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2018-09-20 |
| 1629551320 | Paula Talbert | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
| 1265041792 | Joyce Ann Krivinskas | Registered Nurse | 4553 Harris Rd, Broadview Hts, OH 44147-2903 | 2020-07-30 |
| 1134754799 | Shannan Renee Billingsley | Registered Nurse | 6045 Waldway Ln, Cincinnati, OH 45224-2751 | 2020-03-04 |
| 1588136899 | Misty Dawn Buckley | Registered Nurse | 1570 S River Rd, Zanesville, OH 43701-7186 | 2018-12-27 |
| 1295210813 | Tyler Parsons | Registered Nurse | 303 E Cherry St, Georgetown, OH 45121-1338 | 2018-09-28 |
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1053803650 | Jacqueline Kay Schade | Registered Nurse | 41641 N Ridge Rd # 3, Elyria, OH 44035-1264 | 2018-05-31 |
| 1194220350 | Beverly Bettinger | Registered Nurse | 732s Main St, Toledo, OH 43605-2338 | 2018-03-28 |
| 1205366200 | Nakisha Bailey | Registered Nurse | 350 South Irwin Road, Swanton, OH 43558 | 2017-06-13 |
| 1164971438 | Clifford Alexander Payne | Registered Nurse | 5737 Brookside Rd, Independence, OH 44131-6012 | 2016-09-28 |
| Find all providers with the same taxonomy | ||||
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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.