SHEENA N JACKSON (NPI# 1194271502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194271502 |
| Entity Type | Individual |
| Full Name | SHEENA N JACKSON |
| Practice Address |
303 White Dogwood Dr Bowling Green KY 42101 |
| Mailing Address |
303 White Dogwood Dr Bowling Green KY 42101-7536 |
| Practice Telephone | 2707998662 |
| Mailing Telephone | 2707998662 |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 201126652 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003105396 | Sheena Lene Jackson | Specialist | 1965 Schieffelin Ave, #1c, Bronx, NY 10466-5614 | 2011-04-07 |
| 1962034389 | Sheena Anniece Jackson | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Usagpan, 3551 Roger Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 | 2020-02-05 |
| 1902360787 | Sheena Damita Jackson | Nurse Practitioner | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2019-01-25 |
| 1235503152 | Sheena S Jackson | Dietitian, Registered | 508 Fulton St, Durham, NC 27705-3875 | 2015-11-16 |
| Street Address |
303 WHITE DOGWOOD DR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081170 | Stephanie Brooke Aquino | Developmental Therapist | 252 Atlanta Way, Bowling Green, KY 42103-7094 | 2018-11-06 |
| 1356793434 | Cynthia Aune | Developmental Therapist | 343 Red Elm Ln, Bowling Green, KY 42101-7532 | 2016-07-12 |
| 1093148090 | Maggie Alison Arnold | Developmental Therapist | 349 Walnut Creek Dr, Bowling Green, KY 42101-9110 | 2013-08-13 |
| 1073854832 | Krista Lou Williams | Developmental Therapist | 1200 Peachtree Ln, Bowling Green, KY 42103-7008 | 2013-03-04 |
| 1225396765 | Meagan James | Developmental Therapist | 103 Springcrest St, Bowling Green, KY 42104-5507 | 2012-05-02 |
| 1770888380 | Bonnie Hannibal Reed | Developmental Therapist | 1925 Cedar Ridge Rd, Bowling Green, KY 42101-3701 | 2011-01-13 |
| 1649593955 | Linda Heflin | Developmental Therapist | 543 Ashmoor Ave, Bowling Green, KY 42101-3702 | 2010-03-02 |
| 1841521432 | Dianne Berkley Martin | Developmental Therapist | 727 Memphis Junction Rd, Bowling Green, KY 42101-0565 | 2010-01-20 |
| 1356585277 | Patricia Ellen Henry | Developmental Therapist | 3442 Amber Ct, Bowling Green, KY 42104-0823 | 2009-04-22 |
| 1417126491 | Melissa Dianne Pierce | Developmental Therapist | 543 Saint Cloud Way, Bowling Green, KY 42101-5502 | 2008-02-25 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.