MS. CHERYL R JACKSON (NPI# 1548478217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548478217 |
| Entity Type | Individual |
| Full Name | MS. CHERYL R JACKSON |
| Credential | M. S., A.T., C. |
| Practice Address |
5243 Dalewood Dr Cross Lanes WV 25313-1748 |
| Practice Telephone | 3047766220 |
| Mailing Telephone | 3047766220 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
F127164 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1831165166 | Cheryl Anne Jackson | Physician Assistant | 401 Shickshinney Lake Road, Huntington Mills, PA 18622-0046 | 2006-02-27 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1366787806 | Cheryl Gwendolyn Jackson | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2012-12-11 |
| 1043595622 | Cheryl Ann Jackson | Pharmacist | 1410 N Bluff St, Fulton, MO 65251-2350 | 2011-10-14 |
| Street Address |
5243 DALEWOOD DR |
| City | CROSS LANES |
| State | WV |
| Zip Code | 25313-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1578663589 | Dewey Wilson Mann Jr. | Dentist | 104 Goff Mtn Rd, Cross Lanes, WV 25313 | 2006-09-22 |
| Find all providers in zip 25313 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215693 | Linda B. Bell | Specialist/Technologist | 44 Europa Way, Martinsburg, WV 25405-1436 | 2020-11-02 |
| 1609482629 | Cory Tyler Donley | Specialist/Technologist | 2648 Main St Apt 8, Hurricane, WV 25526-1439 | 2020-09-16 |
| 1215542121 | Gary E Mcilvain | Specialist/Technologist | 1 John Marshall Drive Gullickson Hall 1, Huntington, WV 25755-0001 | 2020-09-09 |
| 1417588765 | Yasmin Neve Mosby | Specialist/Technologist | 1000 Vermillion St # C417, Athens, WV 24712-9027 | 2020-01-27 |
| 1255978458 | Katherine Elizabeth Bryant | Specialist/Technologist | 306 Dawn St, Scott Depot, WV 25560-9014 | 2019-12-06 |
| 1093352296 | Jayde Shaianne Vanriper | Specialist/Technologist | 102 Birch Ln, Morgantown, WV 26505-2509 | 2019-12-06 |
| 1992342190 | Brittney Justine Demarco | Specialist/Technologist | 182 Bronte Ave, Inwood, WV 25428-4390 | 2019-12-06 |
| 1578100780 | Brandon Alfred Akers | Specialist/Technologist | 1216 Morgantown Ave, Fairmont, WV 26554-4504 | 2019-12-06 |
| 1801433008 | Kailee Selders | Specialist/Technologist | 1111 Valley View Ave Trlr 12, Morgantown, WV 26505-3682 | 2019-12-06 |
| 1083250328 | Razhane Kelecce Kelecce Nicole Andrews | Specialist/Technologist | 209 19th St Apt 15, Huntington, WV 25703-1145 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CROSS LANES |
| Zip Code | 25313 |
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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.