TAYLOR JACKSON (NPI# 1992173025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992173025 |
| Entity Type | Individual |
| Full Name | TAYLOR JACKSON |
| Practice Address |
707 E Merry Ave Bowling Green OH 43403-4502 |
| Mailing Address |
10436 Malone Ct Fairfax VA 22032-2372 |
| Practice Telephone | 7038354160 |
| Mailing Telephone | 7032727394 |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2015-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324848 | Taylor Jackson | Registered Nurse | 4255 Wildener Way, Cumming, GA 30041-3602 | 2020-10-23 |
| 1487251302 | Taylor Leeanne Jackson | Occupational Therapist | 3710 Olentangy River Rd, Columbus, OH 43214-3426 | 2020-10-04 |
| 1275158404 | Taylor Kiyota Jackson | Optometrist | 5900 Keyes St Ste 101, Frederick, CO 80504-5956 | 2020-06-13 |
| 1215568233 | Taylor Jackson | Social Worker | 128 S 17th St, Blair, NE 68008-2004 | 2020-01-29 |
| 1376188375 | Taylor Jackson | Behavior Technician | 1317 Oakdale Rd Ste 610, Modesto, CA 95355-3365 | 2019-11-13 |
| 1265083679 | Taylor Bauer Jackson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2019-09-26 |
| 1326543752 | Taylor Jackson | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-03-27 |
| 1558877548 | Taylor Mae Jackson | Counselor | 515 Lakeway Dr, Bellingham, WA 98225-5233 | 2017-12-28 |
| 1700258324 | Taylor Joel Jackson | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208 | 2015-10-22 |
| Street Address |
707 E MERRY AVE |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43403-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811366271 | Alyssa Lassey | Specialist/Technologist | 110 Mcfall Center, Bowling Green, OH 43403 | 2015-09-16 |
| 1083921787 | Bowling Green State University | Psychologist | 822 E Merry Street Bowling Green State University, 300 Psychology Building, Bowling Green, OH 43403 | 2010-09-02 |
| 1588804033 | Arena M Mueller | Counselor | 422 Conklin Hall, Bowling Green State University, Bowling Green, OH 43403 | 2009-02-24 |
| 1366409690 | Bowling Green State University | Clinic/Center | Psychological Services Center, Suite 300 Psychology Dept. Bowling Green State Univ, Bowling Green, OH 43403 | 2006-04-28 |
| 1366805277 | Claire C Silverman | Speech-Language Pathologist | Bgsu Speech and Hearing Clinic, 200 Health and Human Services, Bowling Green, OH 43403 | 2016-03-30 |
| 1750914990 | Joshua B. Grubbs | Psychologist | 822 E Merry Psychology Building Suite 300, Bowling Green, OH 43403-0001 | 2020-02-17 |
| 1104294164 | Ashlee Driscoll | Specialist/Technologist | Bowling Green State University, Bowling Green, OH 43403-0001 | 2015-09-08 |
| 1255771432 | Christopher August Schommer | Specialist/Technologist | 210 Eppler S, Bowling Green, OH 43403-0001 | 2013-07-02 |
| 1053523407 | Annette Lynn Davidson | Specialist/Technologist | Bgsu Stadium E, Bowling Green, OH 43403-0001 | 2007-05-05 |
| 1679796809 | Donna Rose Majewski | Pharmacist | Bgsu Pharmacy Student Health Service, Ridge St, Bowling Green, OH 43403-0001 | 2007-04-10 |
| Find all providers in zip 43403 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225484561 | Billy Davis | Student in an Organized Health Care Education/Training Program | The Medical Center, 250 Park Street, Graduate Medical Education, Bowling Green, KY 42101 | 2016-05-05 |
| 1083222970 | Natasha Rasool | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-07-16 |
| 1255958328 | Suniya Naeem | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-07-06 |
| 1437787553 | Jack Ryan Norgren | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-04-01 |
| 1700414182 | Anup Patel | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1083242424 | Alejandro Luis Feria | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1467080911 | John Rowett Weller | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1730717034 | Eric Landon Smart | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1568090009 | Elias Nassar | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-30 |
| 1578191250 | Matthew Daniel Blake | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-30 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43403 |
Please comment or provide details below to improve the information on TAYLOR 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.