JACOB WHITE III (NPI# 1295391944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295391944 |
Entity Type | Individual |
Full Name | JACOB WHITE III |
Practice Address |
16 W Long St Columbus OH 43215-2815 |
Mailing Address |
570 Russell Rd Apt 5 Mansfield OH 44903-1900 |
Practice Telephone | 6142250980 |
Mailing Telephone | 4199615745 |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194289892 | Jacob White | Specialist/Technologist | 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509 | 2019-01-27 |
1386969210 | Jacob White | Radiology | 1264 Saint Nicholas Ave, New York, NY 10033-7263 | 2010-04-04 |
1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
1790343382 | Jacob White | Behavior Technician | 1130 Tabb St, Norfolk, VA 23504-3434 | 2019-05-30 |
1548735079 | Jacob Vaughn White | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-10-11 |
1003304387 | Jacob Richard White | Student in an Organized Health Care Education/Training Program | 3420 Fifth Avenue, Pittsburgh, PA 15213 | 2018-04-23 |
1265818884 | Jacob Jonathan White | Physician Assistant | 5645 W Addison St, Chicago, IL 60634-4403 | 2015-08-05 |
1073909719 | Jacob Matthew White | Counselor | 213 W Monroe Ave, Suite Q, Lowell, AR 72745-9451 | 2015-04-09 |
1831506351 | Jacob Christopher White | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2014-07-16 |
1205118569 | Jacob Garrett White | Social Worker | 859 Willard St, Quincy, MA 02169 | 2011-09-13 |
Street Address |
16 W LONG ST |
City | COLUMBUS |
State | OH |
Zip Code | 43215-2815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932169497 | Southeast, Inc. | Case Management | 16 W Long St, Columbus, OH 43215-2815 | 2006-03-27 |
1528669017 | Patricia Asamoah Asante | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-11-03 |
1366058992 | Margaret Victoria Asabea-aboagye | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-09-18 |
1720692825 | Sarah Edwards | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-09-04 |
1821602939 | Ching Cheung | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-09-04 |
1063024974 | Erica C Wilson | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-08-21 |
1710595145 | Alanna Lovelace | Peer Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2020-07-22 |
1750999199 | Zoe Alexandra Gausel | Counselor | 16 W Long St, Columbus, OH 43215-2815 | 2020-07-22 |
1265040265 | Karen Elaine Boddie | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-07-16 |
1982220844 | April Durham-newton | Licensed Practical Nurse | 16 W Long St, Columbus, OH 43215-2815 | 2020-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
Find all providers in zip 43215 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467068692 | Ryan Bailey | Peer Specialist | 1576 Omar Dr, Columbus, OH 43207-2746 | 2020-09-22 |
1467062117 | Julie A Leach | Peer Specialist | 36 Santa Maria Ln, Columbus, OH 43213-1843 | 2020-08-07 |
1932739042 | Michael Stephen Barrett | Peer Specialist | 490 Forest St, Columbus, OH 43206-2316 | 2020-01-17 |
1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
1942848619 | Jacqueline T Doodley | Peer Specialist | 2475 Perdue Ave, Columbus, OH 43211-1876 | 2019-12-12 |
1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
1184275992 | Steven Sweatte | Peer Specialist | 311 Taylor Ave, Columbus, OH 43203-1757 | 2019-09-23 |
1184279671 | Anthony B Cook | Peer Specialist | 2834 S High St, Columbus, OH 43207-3660 | 2019-08-02 |
1801448717 | Cale Burke | Peer Specialist | 1796 Stilton Ave, Columbus, OH 43228-4574 | 2019-07-10 |
1326608043 | Erica N Tynes | Peer Specialist | 6370 Ambleside Dr Apt C, Columbus, OH 43229-1994 | 2019-06-14 |
Find all providers in COLUMBUS |
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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.