DR. LINDA CAROL JACKSON (NPI# 1821181991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821181991 |
| Entity Type | Individual |
| Full Name | DR. LINDA CAROL JACKSON |
| Credential | M.D. |
| Practice Address |
150 Memorial Dr Kingwood WV 26537 |
| Mailing Address |
150 Memorial Dr Kingwood WV 26537-1141 |
| Practice Telephone | 7707781931 |
| Mailing Telephone | 3043294701 |
| Mailing Fax Number | 3043294716 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 040928 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CIGNA | 6593349 | 01 |
| GA | 00697606B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558741512 | Linda Jackson | Community Health Worker | 5070 Coleridge Dr, Fairfax, VA 22032-2416 | 2015-06-04 |
| 1285944538 | Linda Jackson | Counselor | 2817 Se 47th St, Oklahoma City, OK 73129-8727 | 2010-10-19 |
| 1417282955 | Linda Carol Jackson | Physical Therapy Assistant | 9200 S County Road 300 W, Muncie, IN 47302-8833 | 2009-10-15 |
| 1992943492 | Linda Gail Jackson | Registered Nurse | 28 Violet Rd, Kings Park, NY 11754-2336 | 2009-01-22 |
| 1144305046 | Linda M Jackson | Counselor | 417 Ipock St, Vanceboro, NC 28586-7996 | 2006-10-26 |
| 1033292842 | Linda L. Jackson | Counselor | 2735 Henning Dr, Winston Salem, NC 27106-4578 | 2006-10-23 |
| 1487742102 | Linda Johnson Jackson | Psychologist | 10701 Corporate Dr Ste 220, Stafford, TX 77477-4093 | 2006-10-10 |
| 1952910812 | Linda Joyice Jackson | Home Health Aide | 1516 E Tropicana Ave Ste 199, Las Vegas, NV 89119-8323 | 2020-07-27 |
| 1932766946 | Linda Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-24 |
| 1053816314 | Linda Natasha Rene Jackson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| Street Address |
150 MEMORIAL DR |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254907 | Nancy Louise Jones | Physician Assistant | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2005-08-31 |
| 1356963300 | Brittany Elizabeth Shaffer | Registered Nurse | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-05-13 |
| 1265067128 | Katherine Barton | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1265067177 | Ashley E Greene | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1891320354 | Garrett Dalton Simmons | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-05 |
| 1568096824 | Ashley Ann Gardo | Speech-Language Pathologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-02-26 |
| 1780239608 | Erin Marie Thomas | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-08-07 |
| 1134693633 | Elise Roman | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-01-17 |
| 1215419759 | Jeremy Allen Dixon | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-08-31 |
| 1265928162 | Terrie Lyn Roth | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588942395 | Angela Earhart P.a. | Specialist | 350 Kingwood Medical Dr Ste 215, Kingwood, TX 77339-6406 | 2011-07-27 |
| 1063695260 | One Stop Medical | Specialist | 1442 Kingwood Dr # 103, Kingwood, TX 77339-3040 | 2007-12-11 |
| 1033307004 | Kevin Duane Gainer | Specialist | 1417 Northpark Dr, Kingwood, TX 77339-1638 | 2007-10-04 |
| 1780804062 | Robert T. Rosen, M.d | Specialist | 1102 Kingwood Dr Ste 204, Kingwood, TX 77339-3009 | 2007-04-27 |
| 1336252469 | North Houston Pain Center,llc | Specialist | 24018 Highway 59 N, Kingwood, TX 77339-1536 | 2006-08-15 |
| 1871834069 | Made2move: Therapy4kids, Pllc | Specialist | 4142 Valley Haven Dr, Kingwood, TX 77339-1953 | 2013-03-13 |
| 1700043783 | Razvan G Scobercea | Specialist | 601 Rockmead Dr, Kingwood, TX 77339 | 2008-05-19 |
| 1346453149 | Steven J. Smith, M.d. P.a. | Specialist | 19701 Kingwood Dr Ste 6, Kingwood, TX 77339-3773 | 2007-05-08 |
| 1508945379 | Eric R Stevens | Specialist | 601 Rockmead Dr, Kingwood, TX 77339-2107 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171013 | Nicole Maynor | Specialist | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-21 |
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1528599800 | Angela Dawn Harold | Specialist | 2241 Ritter Dr, Daniels, WV 25832-2241 | 2017-03-27 |
| 1770023244 | Katelynn Decker | Specialist | 428 W Martin St, Martinsburg, WV 25401-2747 | 2017-03-03 |
| 1699227751 | Sara Elizabeth Hill | Specialist | Sr 3 and 12, Talcott, WV 24981 | 2016-10-25 |
| 1558818294 | Keri Browning | Specialist | 294 Shawnee Cir, Monaville, WV 25601-9631 | 2016-09-09 |
| 1356715429 | Body Kneads LLC | Specialist | 19 Main Ave, Logan, WV 25601-3332 | 2015-11-30 |
| 1982071866 | Archer Massage and Wellness | Specialist | 6 Harman Ctr, Grafton, WV 26354-1559 | 2015-08-27 |
| 1003299652 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 300, Weirton, WV 26062-5058 | 2015-07-01 |
| 1710360367 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 309, Weirton, WV 26062-5055 | 2015-07-01 |
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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.