CANDICE ELIZABETH JACKSON (NPI# 1720368616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720368616 |
| Entity Type | Individual |
| Full Name | CANDICE ELIZABETH JACKSON |
| Credential | COTA/L |
| Practice Address |
216 Union Church Rd Carthage NC 28327-7644 |
| Mailing Address |
422 Hill Rd Southern Pines NC 28387-6637 |
| Practice Telephone | 9105851912 |
| Mailing Telephone | 2172546383 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 8007 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC BOARD OF OCCUPATIONAL THERAPY | 8007 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955924 | Candice S Jackson | Marriage & Family Therapist | 300 Se 1st Ave, Ocala, FL 34471-2169 | 2019-07-29 |
| 1891244851 | Candice Jackson | Assistant Behavior Analyst | 1222 Powell St, B, Norristown, PA 19401-3345 | 2016-09-30 |
| 1215358254 | Candice Epps Jackson | Counselor | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2013-12-18 |
| 1811298185 | Candice Renee Jackson | Licensed Practical Nurse | 2 Tuckahoe Ct, 308, Fairfield, OH 45014-4321 | 2010-11-03 |
| 1346490042 | Candice Jackson | Counselor | 11614 Vail Dr, Oklahoma City, OK 73162-1644 | 2008-09-30 |
| 1346705720 | Candice Latrice Jackson | Registered Nurse | 8325 E Southport Rd Ste 100, Indianapolis, IN 46259 | 2019-02-10 |
| 1174778393 | Candice Jackson | Registered Nurse | 1235 Blue Leaf Dr, Richmond, TX 77469-6255 | 2008-12-02 |
| 1336319078 | Candice M Jackson | Social Worker | 627 W 4th St, Lexington, KY 40508-1207 | 2008-03-10 |
| Street Address |
216 UNION CHURCH RD |
| City | CARTHAGE |
| State | NC |
| Zip Code | 28327-7644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285776443 | Leia Tate Hooker | Speech-Language Pathologist | 216 Union Church Rd, Carthage, NC 28327-0224 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629433230 | Erin Elizabeth Morgan | Physician Assistant | 7473 Highway 22, Whispering Pines, NC 28327 | 2015-12-24 |
| 1710360409 | David Brill | Pharmacist | 7475 North Carolina Highway 22, Carthage, NC 28327 | 2015-06-30 |
| 1306267943 | Yarona Thomas | Counselor | 303 N. Mcneill St., Unit 4, Carthage, NC 28327 | 2013-12-29 |
| 1922445618 | Linda Anne Newman | Pharmacist | 400 Millcreek Rd, Harris Teeter #212, Carthage, NC 28327 | 2013-06-04 |
| 1053690867 | Harris Teeter, LLC | Pharmacy | 400 Mill Creek Rd, Carthage, NC 28327 | 2011-08-10 |
| 1689980146 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 7475 Nc Hwy 22, Carthage, NC 28327 | 2010-08-23 |
| 1861627143 | Sharon A. Wright | Chiropractor | 111-a S. Mcneill St, Carthage, NC 28327 | 2009-05-15 |
| 1225230709 | Virginia F. Dula | Specialist | 212 Brightleaf Dr, Whispering Pines, NC 28327 | 2007-06-05 |
| 1801946991 | Southern Pines Prescription Shop, Inc | Pharmacy | 1016 Monroe St, Carthage, NC 28327 | 2007-01-11 |
| 1982799029 | Tara Plantation of Carthage, LLC | Assisted Living Facility | 820 S. Mcneill Street, Carthage, NC 28327 | 2006-10-04 |
| Find all providers in zip 28327 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245797828 | Rebecca Evelyn Davis | Occupational Therapy Assistant | 715 S Market St, Carthage, TX 75633-3007 | 2019-03-01 |
| 1972099539 | Stacy Leann Youngblood | Occupational Therapy Assistant | 1323 County Road 202, Carthage, TX 75633-6753 | 2018-07-06 |
| 1730681263 | Jasmine S Jones | Occupational Therapy Assistant | 806 Banks Dr, Carthage, TX 75633-2302 | 2018-02-28 |
| 1235499070 | Karen Lynn Johnson | Occupational Therapy Assistant | 115 N Adams St, Carthage, TX 75633-2446 | 2012-05-28 |
| 1326202201 | Cynthia C Secura | Occupational Therapy Assistant | 316 Hulsey Rd, Carthage, NC 28327-7658 | 2008-07-10 |
| 1952882458 | Emily Vance | Occupational Therapy Assistant | 4054 Nw Loop, Carthage, TX 75633-3346 | 2018-08-23 |
| 1891089884 | Sandra Jones | Occupational Therapy Assistant | 112 Health Care Dr, Carthage, TN 37030-1168 | 2011-06-07 |
| 1811150295 | Julie Elizabeth Grisham | Occupational Therapy Assistant | 112 Health Care Dr, Carthage, TN 37030-1168 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1326652611 | Chelsea Stone | Occupational Therapy Assistant | 2036 Quill Ct, Kannapolis, NC 28083-6298 | 2020-09-03 |
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1386266583 | Corie Roberson | Occupational Therapy Assistant | 955 Spring Forest Rd Apt 2, Greenville, NC 27834-4976 | 2020-05-11 |
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1073143343 | Eastern Therapy Solutions, Pllc | Occupational Therapy Assistant | 3132 Chesswood Ln, Winterville, NC 28590-7992 | 2020-01-24 |
| 1710517578 | Leslie H Hutcherson | Occupational Therapy Assistant | 2560 Willard Rd # 5740, Winston Salem, NC 27107-5543 | 2020-01-21 |
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| 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.