KENDRA JACKSON (NPI# 1801297056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801297056 |
Entity Type | Individual |
Full Name | KENDRA JACKSON |
Practice Address |
90 Hospital Dr Athens OH 45701-2301 |
Practice Telephone | 7405923091 |
Mailing Telephone | 7405923091 |
Enumeration Date | 2014-09-08 |
Last Update Date | 2014-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
C1000594 | OH | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
1649520461 | Kendra Jackson | Behavioral Analyst | 730 Dorset Cir, Reno, NV 89506-1972 | 2012-09-19 |
1306126867 | Kendra Lorraine Jackson | Counselor | 2525 Riva Rd Ste 142, Annapolis, MD 21401-7411 | 2011-08-27 |
1548583164 | Kendra D Jackson | Behavioral Analyst | 8136 James Ct Apt A, Oklahoma City, OK 73145-4446 | 2010-03-10 |
1578726204 | Kendra Y Jackson | Licensed Vocational Nurse | 568 S Winery Ave, #104, Fresno, CA 93727-8239 | 2008-07-02 |
1649776469 | Kendra Joy Jackson | Pediatrics | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2018-04-02 |
Street Address |
90 HOSPITAL DR |
City | ATHENS |
State | OH |
Zip Code | 45701-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982693867 | Robby W Wyatt | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2005-10-13 |
1366049462 | Alec Kurth | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-10-02 |
1265047336 | Amy Bakies | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-15 |
1770198426 | Devin Warner | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-10 |
1629683529 | Celia D Anderson | Counselor | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-09 |
1649884651 | Kyrsten Copley | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-08 |
1407469851 | Rebecca Salmons | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-26 |
1487265203 | Jacelynn Renae Sharp | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-14 |
1437760899 | Ryan Gambill | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-11 |
1164033536 | Delia M Palmisano | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-08-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
Find all providers in zip 45701 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851906507 | Kaye Elizabeth Waldrep | Counselor | 330 Winterberry Dr, Athens, GA 30606-3208 | 2020-09-10 |
1669094314 | Erica Ashley Dell | Counselor | 1 Huntington Rd Ste 704, Athens, GA 30606-7215 | 2020-05-15 |
1871145235 | Jm Professional Counseling Services, Pllc | Counselor | 119 South Palestine St, Athens, TX 75751-8710 | 2019-07-15 |
1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
1558848598 | Tara Thomas | Counselor | 545 Research Dr Ste D, Athens, GA 30605-2745 | 2018-07-23 |
1487151437 | Beth Porter | Counselor | 485 Huntington Rd Ste 196, Athens, GA 30606-1845 | 2018-04-06 |
1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
1134666845 | Teresa C Ruiz | Counselor | 585 Research Drive, Suite B, Athens, GA 30605-2761 | 2017-01-20 |
1659827673 | Latarious Clark | Counselor | 135 Brentwood Dr, Athens, GA 30605-3901 | 2016-08-30 |
1376996017 | Celina Vereen | Counselor | 2340 Prince Ave Ste B, Athens, GA 30606-6004 | 2016-07-18 |
Find all providers in ATHENS |
Please comment or provide details below to improve the information on KENDRA JACKSON.
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.