MS. SHALONDA KNIGHT (NPI# 1720469711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720469711 |
Entity Type | Individual |
Full Name | MS. SHALONDA KNIGHT |
Practice Address |
6204 N State St Jackson MS 39213-9731 |
Mailing Address |
2253 Meagan Dr Jackson MS 39272-5682 |
Practice Telephone | 6013219653 |
Practice Fax Number | 7692338094 |
Mailing Telephone | 6627216970 |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6204 N STATE ST |
City | JACKSON |
State | MS |
Zip Code | 39213-9731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124409412 | Lawrence Douglas Sampson Jr. | Case Manager/Care Coordinator | 6204 N State St, Jackson, MS 39213-9731 | 2015-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
Find all providers in zip 39213 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952896672 | Cheyenne Tayler Bolenbaugh | Recreation Therapist | 7537 Lee Rd Apt B, Jackson, MI 49201-8152 | 2018-06-25 |
1386828853 | Kelli M Jones | Recreation Therapist | 1230 Angus Drive, Jackson, WY 83001 | 2007-12-20 |
1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
1427599018 | Mark Marble | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2017-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588192165 | Leslie Michelle White | Recreation Therapist | 374 Ginger Dr, Diberville, MS 39540-3746 | 2017-05-26 |
1750741831 | Kaitlin Kara Mcdowell Hermes | Recreation Therapist | 730 E Beach Blvd # 5128, Long Beach, MS 39560-6259 | 2016-03-02 |
1528149226 | Laura T. Throop | Recreation Therapist | 2106 Boardman Blvd, Gulfport, MS 39507-2727 | 2006-10-18 |
1043229925 | Christopher Gable | Recreation Therapist | 16009 Cherry Dr, Biloxi, MS 39532-3937 | 2006-08-07 |
1114936150 | Danny Skrnich | Recreation Therapist | 704 Sharon Hills Dr, Biloxi, MS 39532-4360 | 2006-08-07 |
1780691188 | Lyla Brooke James | Recreation Therapist | 400 Veterans Ave # 135, Biloxi, MS 39531-2410 | 2006-08-01 |
1801494109 | Destin Parsley | Recreation Therapist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-10-09 |
1821655028 | Barbara Ayn Hakanson | Recreation Therapist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-05-22 |
1427615962 | Lara Herrin-schaubhut | Recreation Therapist | 400 Veterans Avenue, Bldg. 15 2b 116, Biloxi, MS 39531 | 2019-05-21 |
1740846674 | Kaitlin Borri | Recreation Therapist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-05-16 |
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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.