OTEKA JACKSON-CENALES (NPI# 1093295719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093295719 |
| Entity Type | Individual |
| Full Name | OTEKA JACKSON-CENALES |
| Practice Address |
505 E Travis St Ste 112 Marshall TX 75670-4280 |
| Mailing Address |
505 E Travis St Marshall TX 75670-4258 |
| Practice Telephone | 3183935407 |
| Mailing Telephone | 3183935407 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 747761 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 E TRAVIS ST STE 112 |
| City | MARSHALL |
| State | TX |
| Zip Code | 75670-4280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952804908 | Bayou Behavioral Health LLC | Counselor | 505 E Travis St Ste 112, Marshall, TX 75670-4280 | 2018-03-16 |
| 1538729215 | Harmony Faith Ministries | Community/Behavioral Health | 505 E Travis St Ste 112, Marshall, TX 75670-4280 | 2019-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| Find all providers in zip 75670 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106753 | Lauren Gayle Ricossa | Nurse Practitioner | 2908 Fern Lake Cutoff, Marshall, TX 75672-1593 | 2019-10-21 |
| 1093376840 | Marathon Health, LLC | Nurse Practitioner | 807 Cherokee Dr Ste 5, Marshall, MO 65340-1690 | 2019-06-24 |
| 1114410768 | Jennifer D. Eilola | Nurse Practitioner | 215 E Mansion St Ste 3c, Marshall, MI 49068-1167 | 2018-06-08 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1538681754 | Kimberly Calderon | Nurse Practitioner | 1900 S Washington Ave Ste E, Marshall, TX 75670-6845 | 2017-07-10 |
| 1801264965 | Jkb Surgical Associates Pllc | Nurse Practitioner | 915 Bergstrom Pl, Marshall, TX 75672-7607 | 2015-09-07 |
| 1447250733 | Jennifer Elizabeth Roth | Nurse Practitioner | 103 Azalea Way, Marshall, TX 75672-9265 | 2005-07-28 |
| 1770062804 | Kasey Myers | Nurse Practitioner | 1521 Carlson St, Marshall, MN 56258-2626 | 2018-08-09 |
| 1992216022 | Nefeli Anna Moutsoglou | Nurse Practitioner | 300 S Bruce St, Marshall, MN 56258-1934 | 2017-10-16 |
| Find all providers in MARSHALL | ||||
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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.