RUSSELL EMANUEL JACKSON (NPI# 1932622867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932622867 |
| Entity Type | Individual |
| Full Name | RUSSELL EMANUEL JACKSON |
| Credential | AT |
| Practice Address |
2115 Mellwood Ct Toledo OH 43613-3407 |
| Practice Telephone | (419) 215-6888 |
| Mailing Telephone | 4192156888 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2017-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0005240 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322578 | Russell Patrick Jackson | Student in an Organized Health Care Education/Training Program | 7311 E Southern Ave Apt 3064, Mesa, AZ 85209-2723 | 2019-08-24 |
| 1073752879 | Russell Brent Jackson | Orthopaedic Surgery | 155 E Sonterra Blvd Ste 111, San Antonio, TX 78258-3988 | 2009-02-18 |
| 1922008663 | Russell B Jackson | Optometrist | 210 S 100 E, Fillmore, UT 84631-2500 | 2005-07-22 |
| 1396218418 | Russell L Jackson | Case Manager/Care Coordinator | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-01-11 |
| 1902225519 | Russell Jackson | Physical Therapist | 1551 N Main St, Payson, UT 84651-5015 | 2014-04-10 |
| 1447406871 | Russell C Jackson | Case Manager/Care Coordinator | 715 N College Ave, El Dorado, AR 71730-4403 | 2008-08-18 |
| 1164576476 | Russell Earl Jackson | Counselor | 920 Boone St, Tupelo, MS 38804-5908 | 2007-01-23 |
| 1295895712 | Russell Jackson | Anesthesiology | 8700 Beverly Blvd, Suite 8211, West Hollywood, CA 90048-1804 | 2006-12-12 |
| 1457339517 | Russell Jackson | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-08 |
| Street Address |
2115 MELLWOOD CT |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248932 | Andrew Michael Westrick | Specialist/Technologist | 2944 Kendale Dr Apt 101, Toledo, OH 43606-3535 | 2020-06-07 |
| 1518581859 | Katsumi Takeno | Specialist/Technologist | 2640 Christie St Apt L, Toledo, OH 43606-3666 | 2020-06-02 |
| 1386275097 | Rachel Bucher | Specialist/Technologist | 5743 Larkhall Dr, Toledo, OH 43614-1136 | 2020-01-31 |
| 1952969891 | Keith Hoying | Specialist/Technologist | 1910 Kensington Rd # A, Toledo, OH 43607-1354 | 2019-06-05 |
| 1508424441 | Hannah Aliza Lippman | Specialist/Technologist | 4430 N Holland Sylvania Rd Apt 3101, Toledo, OH 43623-3560 | 2019-06-05 |
| 1275199655 | Zuleiha Ines Rachid | Specialist/Technologist | 1220 Four Seasons Dr, Toledo, OH 43615-7689 | 2019-05-12 |
| 1699230029 | Matthew Rosser | Specialist/Technologist | 4248 Kingsmoor Dr, Toledo, OH 43613-3712 | 2019-02-11 |
| 1851856355 | Emily Cathryn Roberts | Specialist/Technologist | 3120 Brock Dr, Toledo, OH 43613-1031 | 2019-02-08 |
| 1689175127 | Mackenzie Lynn O'shea | Specialist/Technologist | 4363 Sylvan Ridge Ct, Toledo, OH 43623-6003 | 2018-02-21 |
| 1285144287 | Zachary Dwayne Miner | Specialist/Technologist | 3229 Dolores Ave, Toledo, OH 43607-2725 | 2017-10-04 |
| Find all providers in TOLEDO | ||||
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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.