COREY JACKSON (NPI# 1215395637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215395637 |
Entity Type | Individual |
Full Name | COREY JACKSON |
Practice Address |
100 Chambers St Cumberland RI 02864-7724 |
Mailing Address |
65 Lionel Ave Coventry RI 02816-5946 |
Practice Telephone | 4017247500 |
Mailing Telephone | 4012563463 |
Enumeration Date | 2016-01-30 |
Last Update Date | 2016-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174H00000X | Health Educator | OTA00858 | RI | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972873321 | Corey N Jackson | Contractor | 130 Mankin Pl, La Vergne, TN 37086-3048 | 2012-01-03 |
1659419075 | Corey Lamont Jackson Sr. | Chiropractor | 1518 S Poplar St, Pine Bluff, AR 71601-6249 | 2007-02-01 |
1427432343 | Corey Jerrod Jackson | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2015-07-10 |
1154735611 | Corey Jackson | Physical Therapist | 1551 N Rock Rd, Wichita, KS 67206-1255 | 2014-06-12 |
1558672881 | Corey E Jackson | Physical Therapist | 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 | 2010-07-01 |
1669693032 | Corey Alan Jackson | Orthopaedic Surgery | 3373 Commerce Pkwy Ste 2, Wooster, OH 44691-7130 | 2007-05-01 |
1194866707 | Corey Jai Jackson | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2007-02-08 |
Street Address |
100 CHAMBERS ST |
City | CUMBERLAND |
State | RI |
Zip Code | 02864-7724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568418606 | Health Resources of Cumberland Inc | Skilled Nursing Facility | 100 Chambers St, Cumberland, RI 02864-7724 | 2006-05-26 |
1265794077 | Cynthia Carter | Physical Therapist | 100 Chambers St, Cumberland, RI 02864 | 2012-06-08 |
1124310412 | Briana Therien | Speech-Language Pathologist | 100 Chambers St, Cumberland, RI 02864-7724 | 2011-05-05 |
1407174196 | Debra L. Mckeon | Speech-Language Pathologist | 100 Chambers St, Cumberland, RI 02864-7724 | 2010-05-05 |
1770808487 | Sarah Mansfield | Physical Therapy Assistant | 100 Chambers St, Cumberland, RI 02864 | 2010-04-06 |
1164747077 | Alyson G Slaney | Physical Therapy Assistant | 100 Chambers St, Cumberland, RI 02864-7724 | 2010-04-03 |
1134456528 | Ellen M Lang | Occupational Therapist | 100 Chambers St, Cumberland, RI 02864-7724 | 2009-11-06 |
1427281245 | Maria Corwin-gotimer | Speech-Language Pathologist | 100 Chambers St, Cumberland, RI 02864-7724 | 2009-08-27 |
1891977625 | 100 Chambers Street Operations LLC | Skilled Nursing Facility | 100 Chambers St, Cumberland, RI 02864-7724 | 2007-12-04 |
1568668382 | Kathleen C Catlow | Physical Therapy Assistant | 100 Chambers St, Cumberland, RI 02864-7724 | 2007-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
Find all providers in zip 02864 |
Taxonomy Code | 174H00000X |
Grouping | Other Service Providers |
Classification | Health Educator |
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699307868 | Western Maryland Area Health Education Center, Inc. | Health Educator | 39 Baltimore St Ste 201, Cumberland, MD 21502-3066 | 2020-02-06 |
1063864254 | Young Men's Christian Association of Cumberland, Maryland, Incorporate | Health Educator | 601 Kelly Road, Cumberland, MD 21502 | 2016-07-12 |
1023636461 | Cassandra Laurine Klatt | Health Educator | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234001 | Monica Bergeron | Health Educator | 75 Winslow St, Riverside, RI 02915-1725 | 2020-01-16 |
1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
1699294371 | Beth Russello | Health Educator | 610 Ten Rod Rd Unit 5, North Kingstown, RI 02852-4206 | 2017-09-14 |
1770030959 | Greater Providence Young Men's Christian Association | Health Educator | 371 Pine St, Providence, RI 02903-4515 | 2016-09-06 |
1598175184 | Victoria Swiss | Health Educator | 42 Indian Rd, Riverside, RI 02915-3102 | 2014-05-05 |
1457693467 | Preventure, Inc | Health Educator | 2000 Nooseneck Hill Rd, Coventry, RI 02816-6707 | 2013-03-18 |
1538794771 | Virgin Pulse, Inc. | Health Educator | 75 Fountain St, Providence, RI 02902-0050 | 2020-03-09 |
1336623503 | Michelle Courchaine | Health Educator | 335r Prairie Avenue, Providence, RI 02905 | 2018-09-24 |
1669955795 | Neyda Dejesus | Health Educator | 335r Prairie Ave, Suite 2b, Providence, RI 02905 | 2018-09-14 |
Find all providers with the same taxonomy |
City | CUMBERLAND |
Zip Code | 02864 |
Please comment or provide details below to improve the information on COREY 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.