KATHY M JACKSON (NPI# 1215971379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215971379 |
| Entity Type | Individual |
| Full Name | KATHY M JACKSON |
| Credential | D.O. |
| Practice Address |
502 W Central Ave La Follette TN 37766-3400 |
| Mailing Address |
Po Box 111 Cape Girardeau MO 63702-0111 |
| Practice Telephone | 4235621705 |
| Mailing Telephone | 4235621705 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101013273 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940391 | Kathy Lorine Jackson | Technician | 2504 Toms Creek Rd, Wayne, WV 25570-9458 | 2020-07-24 |
| 1790175354 | Kathy Jackson | Massage Therapist | 850 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-4903 | 2015-02-03 |
| 1861835860 | Kathy Melton Jackson | Registered Nurse | 6051 Wescott Rd, Columbia, SC 29212-1408 | 2013-04-10 |
| 1619283595 | Kathy L Jackson | Private Vehicle | 15685 N Iron Bridge Rd, Marshall, IL 62441-4663 | 2010-08-30 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1154728319 | Kathy Lacole Jackson | Public Health or Welfare | 151 E Wood St, Spartanburg, SC 29303-3016 | 2014-12-03 |
| 1255689337 | Kathy Lynn Jackson | Counselor | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2012-08-21 |
| 1104088749 | Kathy Jackson | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-06-25 |
| 1306914296 | Kathy Jo Jackson | Pediatrics | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-12-01 |
| 1811060379 | Kathy Jackson | Physical Therapist | 10820 Marvin E. Jones Blvd., Live Oak, FL 32060 | 2006-11-15 |
| Street Address |
502 W CENTRAL AVE |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336285 | L & M Inc. | Pharmacy | 502 W Central Ave, La Follette, TN 37766-3400 | 2019-10-07 |
| 1336563204 | Cumberland Gap Medical | Nurse Practitioner | 502 W Central Ave, Suite 2, La Follette, TN 37766-3400 | 2014-02-12 |
| 1215128004 | Marcus Fayne Cole Jr. | Pharmacist | 502 W Central Ave, La Follette, TN 37766-3400 | 2007-08-06 |
| 1225182199 | Rhonda S. Cross | Social Worker | 502 W Central Ave, La Follette, TN 37766-3400 | 2007-01-22 |
| 1346251998 | Riggs Drug Store | Pharmacy | 502 W Central Ave, La Follette, TN 37766-3400 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639647464 | Krista A Bolton | Family Medicine | 109 Independence Ln Ste 200, La Follette, TN 37766-3034 | 2018-11-09 |
| 1679634158 | Charles S Ward | Family Medicine | 541 Old Middlesboro Hwy, La Follette, TN 37766-7223 | 2006-12-12 |
| 1780629089 | Complete Healthcare Medical Center | Family Medicine | 2146 Jacksboro Pike, Suite C, La Follette, TN 37766-3024 | 2006-06-19 |
| 1477937712 | University Health System, Inc | Family Medicine | 109 Independence Ln, Ste 300, La Follette, TN 37766-3033 | 2015-07-16 |
| 1730442039 | Suzanne M Pearman | Family Medicine | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2012-06-21 |
| 1720397169 | Complete Healthcare and Medical Center Pllc | Family Medicine | 2146 Jacksboro Pike, La Follette, TN 37766-3024 | 2010-10-04 |
| 1053420950 | Curtis Cecil Sexton | Family Medicine | 130 Independence Ln, La Follette, TN 37766-3031 | 2006-08-30 |
| 1306876537 | Murugesen Dhandapani | Family Medicine | 2146 Jacksboro Pike, Suite C, La Follette, TN 37766-3024 | 2006-07-04 |
| 1750382164 | Community Health of East Tennessee, Inc | Family Medicine | 130 Independence Ln, Suite 1, La Follette, TN 37766-3031 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1023621646 | Access Medical Clinic Tennessee LLC | Family Medicine | 204 Glades Rd, Gatlinburg, TN 37738-5601 | 2020-08-24 |
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
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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.