SPECTRUM ACADEMY (NPI# 1215572581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215572581 |
| Entity Type | Organization |
| Organization Name | SPECTRUM ACADEMY |
| Practice Address |
2510 Lakeland Ter Jackson MS 39216-4702 |
| Mailing Address |
Po Box 12347 Jackson MS 39236-2347 |
| Practice Telephone | 6019827827 |
| Practice Fax Number | 6018220303 |
| Mailing Telephone | 6019827827 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | BECCA PEDRON (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 6019827827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922490689 | Spectrum Academy | Local Education Agency (LEA) | 665 Cutler Dr, North Salt Lake, UT 84054-2970 | 2015-03-04 |
| 1841682978 | Spectrum Academy | Local Education Agency (LEA) | 867 S 800 W, Pleasant Grove, UT 84062-4505 | 2015-02-26 |
| 1457742553 | Spectrum Academy | Local Education Agency (LEA) | 575 Cutler Dr, North Salt Lake, UT 84054-2953 | 2015-02-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | SPECTRUM ACADEMY LLC | 9208 Falls of Neuse Road Suite 201, Raleigh, NC 27615 |
| Washington State Corporations | SPECTRUM ACADEMY, LLC | 2576 152nd Ave Ne # B-112, Redmond, WA 98052-0702 |
| Street Address |
2510 LAKELAND TER |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366995532 | Elizabeth Lowry | Behavioral Analyst | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2016-07-25 |
| 1841835667 | Lauren E Bell | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-11-15 |
| 1386285765 | Danny J Olmi | Psychologist | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-10-07 |
| 1881244416 | Carrie Case Adams | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-16 |
| 1184273278 | Shelby Ziemke | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-10 |
| 1104475854 | Artesia Richmond | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-05 |
| 1336797372 | Deyanna Buckner | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-03 |
| 1053969097 | Melissa Southall Broome | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-09-03 |
| 1063068724 | Lauren Layman | Behavioral Analyst | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-08-17 |
| 1598322851 | Jasmine Allen | Behavior Technician | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-05-22 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150084 | Wound Management Specialists, LLC | Clinic/Center | 1190 N State St Ste 2a, Jackson, MS 39202-2413 | 2019-08-22 |
| 1700449329 | Cycle 8 Health Care, LLC | Clinic/Center | 2310 Highway 80 W Ste 2260, Jackson, MS 39204-2383 | 2019-04-18 |
| 1093286544 | East Endocrine and Metabolism Pllc | Clinic/Center | 3829 Greentree Pl, Jackson, MS 39211-6737 | 2018-12-10 |
| 1760965206 | Hunter Assets Holding LLC | Clinic/Center | 1035 W Mayes St, Jackson, MS 39213-6100 | 2018-09-11 |
| 1235634759 | W A Foote Memorial Hospital Inc | Clinic/Center | 2200 Springport Rd Ste 230, Jackson, MI 49202-1432 | 2018-03-27 |
| 1336644897 | W A Foote Memorial Hospital Inc | Clinic/Center | 3305 Spring Arbor Rd Ste 500, Jackson, MI 49203-3795 | 2018-03-27 |
| 1730684580 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 2200 Springport Rd Ste 210, Jackson, MI 49202-1432 | 2018-03-26 |
| 1164927844 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 2200 Springport Rd Ste 800, Jackson, MI 49202-1432 | 2018-03-26 |
| 1225532120 | Robert Greer Do, LLC | Clinic/Center | 5345 Farnsworth Dr, Jackson, MS 39211-4604 | 2018-03-23 |
| 1447761713 | Celestial Health Creations | Clinic/Center | 7 Lakeland Cir Ste 300, Jackson, MS 39216-5022 | 2017-10-13 |
| 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.