CORONDA WEATHERSBY (NPI# 1477827475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477827475 |
| Entity Type | Individual |
| Full Name | CORONDA WEATHERSBY |
| Practice Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 7692515550 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1773 | MS | Behavioral Health & Social Service Providers |
| Street Address |
860 E RIVER PL STE 100 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033781 | Natile Nicole Thompson | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-11-02 |
| 1336765536 | Kimberly C Fonville | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-06-23 |
| 1558997320 | Jeffrey Lance Penn | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-03-12 |
| 1003440553 | Jessica Elizabeth Beaurain | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-02-24 |
| 1497387088 | Roderick Crain | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-02-11 |
| 1528606993 | Shena L Branley | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-17 |
| 1376180521 | Cassandra Ward Peterson | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-06 |
| 1548807886 | Bret David Patterson | Student in an Organized Health Care Education/Training Program | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-05 |
| 1912544438 | Moniques Remonda Singleton | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-03 |
| 1770120297 | Nkosazana Cetewayo | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-03 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
| 1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
| 1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
| 1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
| 1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
| 1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
| 1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
| Find all providers in JACKSON | ||||
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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.