RACHEL SELLERS (NPI# 1205466984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205466984 |
| Entity Type | Individual |
| Full Name | RACHEL SELLERS |
| Credential | PA-C |
| Practice Address |
971 Lakeland Dr Ste 1460 Jackson MS 39216-4621 |
| Mailing Address |
971 Lakeland Dr Ste 1460 Jackson MS 39216-4684 |
| Practice Telephone | 6019823202 |
| Practice Fax Number | 6019823259 |
| Mailing Telephone | 6019823202 |
| Mailing Fax Number | 6019823259 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00469 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 64-0604703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689076416 | Rachel Sellers | Occupational Therapist | 464 Cliff Rd, Sewaren, NJ 07077-1408 | 2014-09-24 |
| Street Address |
971 LAKELAND DR STE 1460 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467551341 | Steven J Patterson | Specialist | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2006-09-21 |
| 1275163727 | Kaitlin Lehto | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4684 | 2020-01-23 |
| 1790315638 | Kayla Robertson Lindsay | Nurse Practitioner | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2020-01-20 |
| 1790293496 | Madison Holcomb | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2018-01-16 |
| 1902314693 | Sarah Lindsey Abdeen | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2018-01-16 |
| 1396253241 | Julie Gardner | Nurse Practitioner | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2018-01-12 |
| 1073980728 | Kelsey A North | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2015-08-28 |
| 1649499740 | Lakeland Surgical Clinic Pllc | Specialist | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2007-04-25 |
| 1255432571 | Frank R Briggs | Specialist | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2006-09-26 |
| 1447350152 | James Kevin Chandler | Specialist | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2006-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091742 | Madeline Grace Daniels | Physician Assistant | 501 Marshall St Ste 400, Jackson, MS 39202-1687 | 2017-02-07 |
| 1972133353 | Justin Bryant Schopp | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-01-24 |
| 1275163727 | Kaitlin Lehto | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4684 | 2020-01-23 |
| 1154951739 | Hailey Daniels Kelly | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-01-22 |
| 1194284786 | Kaitlyn Dunbar | Physician Assistant | 2500 N State St, Jackson, MS 39216-4500 | 2019-03-14 |
| 1164920930 | Catherine Supple Bryant | Physician Assistant | 1190 N State St Ste 502, Jackson, MS 39202-2414 | 2018-01-26 |
| 1790293496 | Madison Holcomb | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2018-01-16 |
| 1902314693 | Sarah Lindsey Abdeen | Physician Assistant | 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | 2018-01-16 |
| 1083073233 | Mary Allison Durr | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-02-16 |
| 1104283068 | Heather Morris | Physician Assistant | 1190 N State St Ste 502, Jackson, MS 39202-2414 | 2016-01-24 |
| 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.