JENNIFER LIND STODDARD (NPI# 1619177722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619177722 |
| Entity Type | Individual |
| Full Name | JENNIFER LIND STODDARD |
| Credential | PHD |
| Practice Address |
1355 Independence Dr Augusta GA 30901-1037 |
| Practice Telephone | 7068235250 |
| Practice Fax Number | 7068235266 |
| Mailing Telephone | 7068235250 |
| Mailing Fax Number | 7068235266 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3093 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175772 | Jennifer Velasco Stoddard | Nurse Practitioner | 1702 E Bolinger Cir, Orange, CA 92865-1756 | 2017-10-16 |
| 1225028525 | Jennifer Kate Stoddard | Internal Medicine | 293 Olmsted Blvd, Pinehurst, NC 28374-9023 | 2005-10-27 |
| Street Address |
1355 INDEPENDENCE DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
| 1215388327 | Greenwood Medical Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2016-06-29 |
| 1114393956 | Jennifer Rose Anderson | Registered Nurse | 1355 Independence Dr, Augusta, GA 30901-1037 | 2015-08-17 |
| 1659616811 | Encompass Health Walton Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-11-29 |
| 1215201355 | Augusta Interventional Pain and Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-03-07 |
| 1831474147 | Mentor A.b.i | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-10-18 |
| 1457632150 | Stephanie Anne Northington | Psychologist | 1355 Independence Dr, Behavioral Medicine Department, Augusta, GA 30901-1037 | 2011-09-08 |
| 1245526474 | American Rehabilitation Associates | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-06-27 |
| 1992025258 | Christopher Bell | Psychologist | 1355 Independence Dr, Augusta, GA 30901-1037 | 2010-06-09 |
| 1154554764 | William Schiff | Psychologist | 1355 Independence Dr, Augusta, GA 30901-1037 | 2009-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1932635885 | Samantha L. Whatson | Psychologist | 3633 Wheeler Rd Ste 110, Augusta, GA 30909-6544 | 2017-05-11 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| 1710315171 | Holly Tabernik | Psychologist | 3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815 | 2013-10-23 |
| 1225383078 | Sarah Bruce Stevens | Psychologist | 44 Thornberry Drive, Augusta, GA 30909-1922 | 2012-07-18 |
| 1326277831 | Katharine Elliott Mocciola | Psychologist | 1 Va Ctr # 116b, Augusta, ME 04330-6719 | 2009-07-06 |
| 1467635441 | Dana P. Reaume | Psychologist | 74 Bristlecone Ln, Augusta, GA 30909-1847 | 2007-12-12 |
| 1548460124 | Sarah Faith Shelton | Psychologist | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2007-07-20 |
| 1679623086 | M. Kevin Turner | Psychologist | 103 Rossmore Pl, Augusta, GA 30909-5769 | 2007-01-11 |
| Find all providers in AUGUSTA | ||||
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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.