DEWAYNE JACKSON (NPI# 1447792668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447792668 |
| Entity Type | Individual |
| Full Name | DEWAYNE JACKSON |
| Credential | PERSONAL TRAINER |
| Practice Address |
4500 S Saginaw St Flint MI 48507-2676 |
| Mailing Address |
2446 Green Pine Dr Apt 5 Burton MI 48519-1185 |
| Practice Telephone | 8102657121 |
| Mailing Telephone | 8103916328 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | T192947 | MI | Other Service Providers |
| Street Address |
4500 S SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396892659 | Kenneth Mark Rush | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2007-01-05 |
| 1770115263 | Jeremy Dollinger | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2020-02-12 |
| 1871144741 | Katlyn Janelle Haist | Physical Therapy Assistant | 4500 S Saginaw St, Flint, MI 48507-2676 | 2019-09-23 |
| 1386297158 | Kanisha Hill | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2019-07-22 |
| 1063079978 | Chelsea M Donovan | Massage Therapist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2019-05-26 |
| 1508421678 | Bilal Sheikh-khalil | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2019-05-04 |
| 1942864236 | Zachary Scott Abbott-main | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2019-04-23 |
| 1417414384 | Michael Edward Sparkman | Physical Therapist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2019-02-26 |
| 1932671682 | Kara Louise Suppes | Specialist/Technologist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2018-12-19 |
| 1710462213 | Adam Michael Kingsbury | Physical Therapist | 4500 S Saginaw St, Flint, MI 48507-2676 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1144710377 | Cathy Jo Newkirk | Health Educator | 605 N Saginaw St Ste 1a, Flint, MI 48502-2031 | 2018-05-14 |
| 1730681990 | Christine Rivette | Health Educator | 411 E 3rd St Ste 2, Flint, MI 48503-2006 | 2018-03-05 |
| 1770053811 | Amy Hughes | Health Educator | 411 E 3rd St, Flint, MI 48503-2006 | 2018-12-02 |
| 1780154021 | Marcie Hunter | Health Educator | 411 E 3rd St Ste 2, Flint, MI 48503-2006 | 2018-11-29 |
| 1205310315 | Lisa Rensberger | Health Educator | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2018-09-25 |
| 1477037091 | Danielle Campbell | Health Educator | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2018-09-19 |
| 1154807626 | Margreat W Handley | Health Educator | 411 E 3rd St, Flint, MI 48503-2006 | 2018-07-17 |
| 1346731254 | Nateeba Yonte Massey | Health Educator | 411 E 3rd St, Flint, MI 48503-2006 | 2018-05-25 |
| 1063864007 | Anureet Chahal | Health Educator | 304 W Tobias St, Flint, MI 48503-3975 | 2016-07-01 |
| Find all providers in FLINT | ||||
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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.