MS. MICHELLE JOHN (NPI# 1417034588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417034588 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE JOHN |
| Credential | OTR/L |
| Practice Address |
2615 W Main St Jacksonville AR 72076-4215 |
| Mailing Address |
2520 W Main St Jacksonville AR 72076-4214 |
| Practice Telephone | 5019824578 |
| Practice Fax Number | 5019821253 |
| Mailing Telephone | 5019824578 |
| Mailing Fax Number | 5019821253 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OTR214 | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487189940 | Michelle John | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-04-21 |
| 1013269125 | Michelle John | Nurse's Aide | 35 Elm Street, Apt A, Whiteland, IN 46184 | 2012-10-12 |
| 1114233764 | Michelle John | Nutritionist | 400 Health Park Blvd, Nutrition Services, St Augustine, FL 32086-5784 | 2010-08-20 |
| 1013145671 | Michelle H. John | Occupational Therapist | 425 E. Los Ebanos Blvd., Suite 109, Brownsville, TX 78520-8443 | 2009-06-22 |
| 1851549083 | Michelle Sexton John | Audiologist | 915 Gessner Rd, Suite 280, Houston, TX 77024-2527 | 2008-08-29 |
| 1336108208 | Michelle L John | Internal Medicine | 24988 Se Stark St, Suite 220, Gresham, OR 97030-8322 | 2006-03-20 |
| Street Address |
2615 W MAIN ST |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225128523 | Vicky Evans | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-10-15 |
| 1457838187 | Jonathan Edwin Waddell | Social Worker | 2615 W Main St, Jacksonville, AR 72076-4215 | 2018-07-25 |
| 1457588469 | Crystal Diane Washington | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2009-06-17 |
| 1346475761 | Jennifer M Wilson | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2009-05-29 |
| 1801953633 | Charlotte B Rye | Occupational Therapy Assistant | 2615 W Main St, Jacksonville, AR 72076-4215 | 2007-01-02 |
| 1043376494 | Crystal Penn | Occupational Therapist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-12-29 |
| 1205999893 | Susan Ellis Taylor | Occupational Therapist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-12-18 |
| 1356403729 | Amy Jo Lancaster | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-12-14 |
| 1245305788 | Jennifer Kaye Berg | Occupational Therapist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-11-21 |
| 1891867172 | Melissa W Ezzi | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
| 1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
| 1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
| 1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
| 1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
| 1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
| 1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
| 1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on MS. MICHELLE JOHN.
| 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.