JAMES EDWARD PUCKETT JR. (NPI# 1376067942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376067942 |
| Entity Type | Individual |
| Full Name | JAMES EDWARD PUCKETT JR. |
| Credential | MS |
| Practice Address |
600 3rd St N La Crosse WI 54601-6234 |
| Practice Telephone | 6085195547 |
| Mailing Telephone | 6085195546 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16168-132 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6550-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487870473 | James Michael Puckett | Dentist | 800 W Main St Ste B, Jamestown, NC 27282-8830 | 2007-04-18 |
| 1477698926 | James Puckett | Preventive Medicine | 6111 Highway 49, Suite 119, Hattiesburg, MS 39401 | 2007-02-21 |
| 1497795942 | James B. Puckett | Internal Medicine | One Doctors Drive, Asheville, NC 28801 | 2006-06-06 |
| 1093200107 | James Addison Puckett | Registered Nurse | 5430 Fredericksburg Rd, San Antonio, TX 78229 | 2018-06-30 |
| 1295024800 | James Lee Puckett | Emergency Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2011-04-04 |
| 1790824829 | James L. Puckett | Nuclear Medicine | 1 Hospital Dr, Clarion, PA 16214 | 2007-02-05 |
| Street Address |
600 3RD ST N |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003975038 | Coulee Chiropractic Clinic, S.c. | Chiropractor | 600 3rd St N, Suite 201, La Crosse, WI 54601-6299 | 2006-12-06 |
| 1790199503 | Randy John Joten | Chiropractor | 600 3rd St N, 201, La Crosse, WI 54601-6234 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357771 | Tania Lynne Sidiqi | Counselor | 115 5th Ave S Ste 301, La Crosse, WI 54601-4098 | 2017-03-24 |
| 1861845364 | Nancy Louise Miller | Counselor | 2920 East Avenue South, Suite 100, La Crosse, WI 54601 | 2016-07-20 |
| 1588066351 | Emily Jarrett | Counselor | 205 5th Ave S Ste 415, La Crosse, WI 54601-4059 | 2014-09-23 |
| 1548699275 | Lisa Hammes | Counselor | 115 5th Ave S Ste 507, La Crosse, WI 54601-4018 | 2013-11-04 |
| 1285981969 | Christine A Paarem Wilczewski | Counselor | 121 S. 11th Street, La Crosse, WI 54601-4116 | 2012-08-13 |
| 1992987481 | Tiffany Christine Johnson | Counselor | 600 3rd St N Ste 206, La Crosse, WI 54601-6299 | 2007-11-27 |
| 1952468936 | Allen Wagner | Counselor | 421 22nd St S, La Crosse, WI 54601-5046 | 2007-01-02 |
| 1902912744 | Michelle Sue Skau | Counselor | 300 4th Street North, La Crosse, WI 54602-4002 | 2006-08-22 |
| 1588270714 | Angela Shari Goethel | Counselor | 115 5th Ave S Ste 523, La Crosse, WI 54601-4018 | 2020-09-22 |
| 1922662451 | Leisha Nicole Lucas | Counselor | 319 Main St Ste 510, La Crosse, WI 54601-0710 | 2019-04-30 |
| Find all providers in LA CROSSE | ||||
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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.