MR. JAMES ETIENNE SHOTWELL JR. (NPI# 1003938127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003938127 |
| Entity Type | Individual |
| Full Name | MR. JAMES ETIENNE SHOTWELL JR. |
| Credential | C.PED |
| Practice Address |
103 W Michigan Ave Jackson MI 49201-1303 |
| Practice Telephone | 5177831258 |
| Practice Fax Number | 5177836472 |
| Mailing Telephone | 5177831258 |
| Mailing Fax Number | 5177836472 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306944988 | James H. Shotwell | Social Worker | 4004 Carlisle Blvd Ne Ste A2, Albuquerque, NM 87107-4566 | 2006-09-20 |
| Street Address |
103 W MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760686323 | Millers Shoe | Contractor | 103 W Michigan Ave, Jackson, MI 49201-1303 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970774 | Cassandra Malone | Contractor | 931 Highway 80 W Unit 218d, Jackson, MS 39204-3914 | 2015-04-17 |
| 1275939639 | Shundobie T Coleman | Contractor | 199 Raymond Rd Ste D, Jackson, MS 39204-2864 | 2014-11-13 |
| 1104225655 | Jessica Singleton | Contractor | 5301 Venetian Way, Jackson, MS 39211-4513 | 2014-08-21 |
| 1992122550 | Laura Kunstmann | Contractor | 311 Old Spanish Trl, Jackson, MS 39212-3210 | 2014-03-20 |
| 1194160424 | Sarah Ann Payton | Contractor | 5637 Heard St, Jackson, MS 39206-2907 | 2013-04-30 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1437438223 | Andrea Osman | Contractor | 6431 Jordan Rd, Jackson, MI 49201-9582 | 2011-08-10 |
| 1083941926 | Sandra Kay Kennedy Saam | Contractor | 5755 South Hwy 89, #15, Jackson, WY 83001 | 2009-11-13 |
| 1396943288 | Jamie Rosanne Nipper | Contractor | 224 Whetstone Way, Jackson, MO 63755-3053 | 2007-07-03 |
| 1053515189 | James A. Watkins | Contractor | 931 N Highland Ave, Jackson, TN 38301-4458 | 2007-06-13 |
| Find all providers in JACKSON | ||||
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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.