LAURA PERMELIA JACKSON (NPI# 1497208987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497208987 |
| Entity Type | Individual |
| Full Name | LAURA PERMELIA JACKSON |
| Credential | M.S.ED.,ATC, LAT |
| Practice Address |
3300 Airport Road Southern Pines NC 28387 |
| Mailing Address |
Po Box 290 Southern Pines NC 28388-0290 |
| Practice Telephone | 9106926920 |
| Mailing Telephone | 9106926920 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3704 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002200 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1487949400 | Laura Elizabeth Evans Jackson | Pediatrics | 4401 Penn Avenue, Aob, Suite 5400, Pittsburgh, PA 15224 | 2011-06-17 |
| 1821278177 | Laura Louise Jackson | Pharmacist | 10 Jason Ln, Wheelersburg, OH 45694-8463 | 2007-11-04 |
| 1447724604 | Laura Jackson | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-01-21 |
| 1619461886 | Laura Beth Jackson | Behavior Technician | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2018-06-20 |
| 1457844110 | Laura M Jackson | Speech-Language Pathologist | 7090 Covenant Woods Dr, Mechanicsville, VA 23111-7025 | 2018-06-07 |
| 1902319692 | Laura Elizabeth Jackson | Speech-Language Pathologist | 6502 Slide Rd Ste 204, Lubbock, TX 79424-1311 | 2017-11-16 |
| 1639699465 | Laura Ashlyn Broome Jackson | Pharmacist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-06-22 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| 1134677057 | Laura Jackson | Counselor | 900 Hendersonville Rd, Suite 300, Asheville, NC 28803-1734 | 2016-09-20 |
| Street Address |
3300 AIRPORT ROAD |
| City | SOUTHERN PINES |
| State | NC |
| Zip Code | 28387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972028 | Wright and Associates X Dds Pa | Dentist | 10677 Nc Hwy 15-501, Southern Pines, NC 28387 | 2018-08-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1619313202 | Nicole Jacobs | Psychiatry & Neurology | 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 | 2013-05-22 |
| 1932458395 | Heather N Dunning | Social Worker | 230 Murray Hill Rd, Southern Pines, NC 28387 | 2012-08-31 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1083919245 | John Adam Petty | Chiropractor | 1295 Old Us 1, Suite F, Southern Pines, NC 28387 | 2011-01-20 |
| 1962704775 | Specialty Pharmacy-southern Pines LLC | Pharmacy | 735 S. Bennett St., Southern Pines, NC 28387 | 2010-11-30 |
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| 1457668543 | Bradford Associates | Counselor | 103 Bradford Court, Southern Pines, NC 28387 | 2010-09-10 |
| Find all providers in zip 28387 | ||||
| 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 |
|---|---|---|---|---|
| 1023617180 | Valerie Downing | Specialist/Technologist | 205 N Knoll Rd, Southern Pines, NC 28387-2936 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1992302772 | Emily Elizabeth Macadam | Specialist/Technologist | 115 Blue Rd, Pinehurst, NC 28374-9125 | 2020-10-05 |
| 1407453640 | Asal Rahbar Lenz | Specialist/Technologist | 5140 Nw Cabarrus Dr, Concord, NC 28027-7624 | 2020-10-01 |
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1811500242 | Jewell Hilbourn Fowler | Specialist/Technologist | 44 Furnie Hinson Rd, Whiteville, NC 28472-4837 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHERN PINES |
| Zip Code | 28387 |
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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.