TIERRA JACKSON (NPI# 1225426224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225426224 |
| Entity Type | Individual |
| Full Name | TIERRA JACKSON |
| Practice Address |
1500 Pride Ave Madisonville KY 42431-9157 |
| Practice Telephone | 2708211813 |
| Practice Fax Number | 2708252644 |
| Mailing Telephone | 2708211813 |
| Mailing Fax Number | 2708252644 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A5898 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225440548 | Tierra Jackson | Counselor | 4680 Lipscomb St Ne, Suite 10a, Palm Bay, FL 32905-2984 | 2014-05-21 |
| Street Address |
1500 PRIDE AVE |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-9157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056738 | Wells Health Systems, Inc. | Skilled Nursing Facility | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2005-07-11 |
| 1356962575 | Ashlenn Brei White | Speech-Language Pathologist | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2020-04-28 |
| 1467018234 | Christina Jean Brister | Physical Therapy Assistant | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2019-05-16 |
| 1083192439 | Mary Buckman | Speech-Language Pathologist | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2018-07-29 |
| 1033574900 | Amanda Marie Halcomb | Occupational Therapist | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2015-12-21 |
| 1932585981 | Victoria Herndon | Physical Therapy Assistant | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2015-07-31 |
| 1811385701 | Hannah Stoltz Clark | Speech-Language Pathologist | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2014-12-31 |
| 1003204900 | Amy Harvey | Physical Therapy Assistant | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2014-12-30 |
| 1730577677 | Ashly Groves | Occupational Therapy Assistant | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2014-12-30 |
| 1780010231 | Erica Dawn Hanner | Occupational Therapy Assistant | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2013-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285110700 | Miranda Nichole Cook | Occupational Therapy Assistant | 803a Independence Dr, Madisonville, KY 42431-3151 | 2018-07-18 |
| 1033618467 | Laura Ashley Mcclain | Occupational Therapy Assistant | 50 Shoal Creek Dr, Madisonville, KY 42431-3882 | 2018-02-12 |
| 1760928634 | Bethany Jordan | Occupational Therapy Assistant | 1014 Brown Rd, Madisonville, KY 42431-2215 | 2017-01-16 |
| 1346892197 | Samantha Grace Arndts | Occupational Therapy Assistant | 465 Isbill Rd, Madisonville, TN 37354-2112 | 2019-07-11 |
| 1922669407 | Melinda Blair | Occupational Therapy Assistant | 465 Isbill Rd, Madisonville, TN 37354-2112 | 2019-06-25 |
| 1932769783 | Alissa May | Occupational Therapy Assistant | 465 Isbill Rd, Madisonville, TN 37354-2112 | 2019-06-14 |
| 1982123220 | Stephanie Danielle Pride | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2017-09-19 |
| 1598287526 | Casey Davis | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2017-07-11 |
| 1659821148 | Tamara Elaine Davis | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2016-10-07 |
| 1730577677 | Ashly Groves | Occupational Therapy Assistant | 1500 Pride Ave, Madisonville, KY 42431-9157 | 2014-12-30 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
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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.