MR. GREGORY LEE JACKSON (NPI# 1356306203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356306203 |
| Entity Type | Individual |
| Full Name | MR. GREGORY LEE JACKSON |
| Credential | MS, ATC |
| Practice Address |
3821 Everetts Dl Lexington KY 40514-1185 |
| Practice Telephone | 8593516789 |
| Mailing Telephone | 8593516789 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194124 | Gregory L Jackson | Social Worker | 342 W Progress Rd, Prentiss, MS 39474-5221 | 2016-02-20 |
| 1811170293 | Gregory Emory Jackson | Pharmacist | 526 W 30th Street, Ny, NY 10001 | 2007-12-09 |
| 1801970769 | Gregory Wayne Jackson | Dentist | 6435 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-10-25 |
| 1184738825 | Gregory Mann Jackson | Specialist | 4220 Mccullough Ave, San Antonio, TX 78212-1910 | 2006-08-19 |
| 1134158009 | Gregory Alan Jackson | Physical Therapist | 5501 Swift Rd, Sarasota, FL 34231-6209 | 2006-07-02 |
| 1982640090 | Gregory R Jackson | Radiology | 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | 2006-06-20 |
| 1568092088 | Gregory Christopher Jackson | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-01-23 |
| 1346747110 | Gregory Jackson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0004 | 2018-04-09 |
| 1285167304 | Gregory M. Jackson II | Nurse Practitioner | 8600 Wurzbach Rd, Suite 1110, San Antonio, TX 78240-4330 | 2017-04-05 |
| 1942651708 | Gregory Jackson | Physical Therapy Assistant | 9685 Chillicothe Rd, Kirtland, OH 44094-8503 | 2016-06-23 |
| Street Address |
3821 EVERETTS DL |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40514-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310525 | Ameer Allouch | Pharmacist | 3513 Dylan Place, Lexington, KY 40514 | 2014-06-11 |
| 1417226911 | Meenu Devi | Specialist | 505 Newbury Way, Lexington, KY 40514 | 2011-12-29 |
| 1295998185 | Dickson Peter Ufomata | Dentist | 1600 Leestown Road, Ste. 138, Lexington, KY 40514 | 2008-07-09 |
| 1073980918 | Krystina Marcio | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514 | 2015-08-26 |
| 1336224484 | The Smile Shop Inc | Dentist | 3650 Boston Rd, Suite K, Lexington, KY 40514 | 2006-10-26 |
| 1184806259 | Carrie Bales | Developmental Therapist | 1028 Moylan Ln, Lexington, KY 40514-1010 | 2007-11-30 |
| 1134512361 | Rachael Hilliard | Speech-Language Pathologist | 1145 Wood Ridge Rd, Lexington, KY 40514-1016 | 2015-03-12 |
| 1619319076 | Jacklyn Martin | Developmental Therapist | 913 Overview Dr, Lexington, KY 40514-1032 | 2013-07-25 |
| 1427214394 | Karen C Mahaney | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514-1062 | 2008-07-31 |
| 1366606501 | Chiro One Wellness Center of Mill Pond Pllc | Chiropractor | 3801 Dylan Pl, Suite 110, Lexington, KY 40514-1062 | 2008-07-16 |
| Find all providers in zip 40514 | ||||
| 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 |
|---|---|---|---|---|
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1982214433 | Brookelynn Thomason | Specialist/Technologist | 497 Angliana Ave, Lexington, KY 40508-3541 | 2020-08-08 |
| 1093325193 | Phillip Gribble | Specialist/Technologist | 210 Charles Wethington Building 900 South Limestone, Lexington, KY 40536-0200 | 2020-08-04 |
| 1710501143 | Karl Gerlach | Specialist/Technologist | 346 Oldham Ave, Lexington, KY 40502-1720 | 2020-06-01 |
| 1184248809 | David Raphael Tuduri | Specialist/Technologist | 1822 Courtland Dr, Lexington, KY 40505-2311 | 2020-05-29 |
| 1174146294 | Kianna N Anderson | Specialist/Technologist | 26 Penry St, Lexington, NC 27292-2638 | 2020-05-22 |
| 1164041786 | Olivia Szallai | Specialist/Technologist | 295 Alumni Dr, Lexington, KY 40506-0006 | 2020-04-14 |
| 1447896006 | Paige Alison Clawson | Specialist/Technologist | 629 Big Bear Ln, Lexington, KY 40517-2055 | 2019-11-19 |
| 1144865361 | Kyle B Kosik | Specialist/Technologist | 175 N Locust Hill Dr Apt 2204, Lexington, KY 40509-1580 | 2019-11-12 |
| 1821630336 | David Rodwell Walters II | Specialist/Technologist | 112 Twelve Mile Dr, Lexington, SC 29072-3964 | 2019-10-16 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on MR. GREGORY LEE JACKSON.
| 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.