RANDALL JACKSON (NPI# 1225491301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225491301 |
| Entity Type | Individual |
| Full Name | RANDALL JACKSON |
| Practice Address |
9805 Bluejacket St Overland Park KS 66214-2347 |
| Practice Telephone | 7857476717 |
| Mailing Telephone | 7857476717 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144614165 | Randall Jackson | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2015-03-27 |
| 1487748323 | Randall Michael Jackson | Pharmacist | 3451 E 12th Street, Oakland, CA 94601 | 2006-10-03 |
| Street Address |
9805 BLUEJACKET ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66214-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828781 | Kim R Adkins | Specialist/Technologist | 8806 Riley St, Overland Park, KS 66212-2054 | 2020-10-15 |
| 1033677935 | William Cameron Baker | Specialist/Technologist | 4710 W 139th Ter, Overland Park, KS 66224-3663 | 2019-03-09 |
| 1225508898 | Keaghan Michelle Shacklett | Specialist/Technologist | 13747 Cody St., Overland Park, KS 66221 | 2018-11-27 |
| 1457829327 | Emma Anne Corkill | Specialist/Technologist | 10700 Nall Ave, Overland Park, KS 66211-1206 | 2018-11-08 |
| 1083198261 | Josh Hardy | Specialist/Technologist | 8302 W 125th St, Overland Park, KS 66213-1400 | 2018-09-24 |
| 1497239834 | Krisha Kackley | Specialist/Technologist | 10790 Nall Ave, Overland Park, KS 66211-1206 | 2018-09-21 |
| 1679084578 | Kaycee Adair | Specialist/Technologist | 10730 Nall Ave Ste 200, Overland Park, KS 66211-1285 | 2017-10-18 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1083134506 | Devon Hudspeth | Specialist/Technologist | 12302 Mackey St, Overland Park, KS 66213-1431 | 2017-06-26 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66214 |
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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.