MS. JACINDA B. ROACH (NPI# 1316139181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316139181 |
| Entity Type | Individual |
| Full Name | MS. JACINDA B. ROACH |
| Credential | RD |
| Practice Address |
1860 Chadwick Dr Suite 150 Jackson MS 39204-3463 |
| Practice Telephone | 6013761681 |
| Practice Fax Number | 6013762491 |
| Mailing Telephone | 6013761681 |
| Mailing Fax Number | 6013762491 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
D1074 | MS | Dietary & Nutritional Service Providers |
| Street Address |
1860 CHADWICK DR SUITE 150 |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792842 | Eric L Rushing | Radiology | 1860 Chadwick Dr, Suite B, Jackson, MS 39204-3463 | 2005-07-06 |
| 1750735452 | Connie Williams | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2016-04-19 |
| 1346634888 | Dawn Taylor Joiner | Nurse Practitioner | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2015-03-23 |
| 1295125813 | Jennifer Easley | Nurse Practitioner | 1860 Chadwick Dr, Suite 205, Jackson, MS 39204-3463 | 2015-02-03 |
| 1689077919 | Anna Cline | Counselor | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2014-10-01 |
| 1659618106 | Central Mississippi Civic Improvement Association, Inc. | Community Health Worker | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2013-01-03 |
| 1902140635 | Cardiovascular Institute of Mississippi, LLC | Internal Medicine | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-11-19 |
| 1811244593 | Megan Egbert Slade | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-08-13 |
| 1437416351 | Vicksburg Hma Physician Management LLC | Family Medicine | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2012-04-17 |
| 1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023355245 | Jackson Madison General Hospital | Nutritionist | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2013-01-08 |
| 1518238807 | Baptist Nutrition Clinic | Nutritionist | 1190 N State St, Suite 204, Jackson, MS 39202-2413 | 2012-01-19 |
| 1902041320 | Leanne Simpson Montgomery | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2008-12-15 |
| 1770770117 | Tiffani L Grant | Nutritionist | 2500 North State Street, Department of Medicine/division of General Internal Med, Jackson, MS 39216-4500 | 2007-10-01 |
| 1326268228 | Patricia Dawn Lowery | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2007-04-26 |
| 1598985491 | Tiffany Latese Stackens | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805709 | Kiama Jean Lee | Nutritionist | 13 Oakwood Glen Dr, Clinton, MS 39056-4328 | 2019-01-29 |
| 1275832149 | Top Dog Nutrition & Fitness | Nutritionist | 4708 Gibson Rd, #105, Ocean Springs, MS 39564-6042 | 2011-03-18 |
| 1376786988 | Lynn Helms | Nutritionist | 800 Robert E Lee Dr, Tupelo, MS 38801-4614 | 2009-04-13 |
| 1316477813 | Professional Nutrition Services LLC | Nutritionist | 301 Lee St, Belzoni, MS 39038-3705 | 2017-06-15 |
Please comment or provide details below to improve the information on MS. JACINDA B. ROACH.
| 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.