COREY JACKSON


Address: 100 Chambers St, Cumberland, RI 02864-7724
Phone: 4017247500

COREY JACKSON (NPI# 1215395637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174H00000X Health Educator OTA00858 RI Other Service Providers

Other Providers COREY JACKSON

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

Office Location

Street Address 100 CHAMBERS ST
City CUMBERLAND
State RI
Zip Code 02864-7724

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174H00000X
Grouping Other Service Providers
Classification Health Educator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CUMBERLAND
Zip Code 02864

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Dataset Information

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.

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