JACOB WATERS (NPI# 1568857035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568857035 |
| Entity Type | Individual |
| Full Name | JACOB WATERS |
| Practice Address |
906 Thompson St Ashland VA 23005-1128 |
| Mailing Address |
304 Homestead Ln Apt 1 Po Box 378 Boalsburg PA 16827-1533 |
| Practice Telephone | 8047983291 |
| Mailing Telephone | 5705067845 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
906 THOMPSON ST |
| City | ASHLAND |
| State | VA |
| Zip Code | 23005-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882115 | Ashland Convalescent Center, Inc | Skilled Nursing Facility | 906 Thompson St, Ashland, VA 23005-1128 | 2005-06-22 |
| 1730640731 | Jessica Ashley Krusie | Occupational Therapy Assistant | 906 Thompson St, Ashland, VA 23005-1128 | 2019-03-31 |
| 1740772813 | Theresa Williams | Speech-Language Pathologist | 906 Thompson St, Ashland, VA 23005-1128 | 2018-06-04 |
| 1699286344 | Michelle Schapire | Speech-Language Pathologist | 906 Thompson St, Ashland, VA 23005-1128 | 2017-10-21 |
| 1851832265 | Demond Howard Morris | Physical Therapy Assistant | 906 Thompson St, Ashland, VA 23005-1128 | 2017-03-17 |
| 1982145678 | Erin Mcghee | Occupational Therapist | 906 Thompson St, Ashland, VA 23005-1128 | 2017-03-14 |
| 1942743588 | Christopher Brittig | Physical Therapy Assistant | 906 Thompson St, Ashland, VA 23005-1128 | 2016-11-30 |
| 1184011819 | Marion T Groth | Physical Therapy Assistant | 906 Thompson St, Ashland, VA 23005-1128 | 2015-04-21 |
| 1568871358 | Meghan Mortimer | Occupational Therapy Assistant | 906 Thompson St, Ashland, VA 23005-1128 | 2014-08-06 |
| 1831439785 | Smitha Mysorekrishnappa | Physical Therapist | 906 Thompson St, Ashland, VA 23005-1128 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076855 | Drew Gaurke | Student in an Organized Health Care Education/Training Program | 10283 Lakeridge Sqaure Ct., Apt K, Ashland, VA 23005 | 2019-11-06 |
| 1962973214 | Diane Turner Carter | Speech-Language Pathologist | 100 England Street; #2214, Ashland, VA 23005 | 2018-12-16 |
| 1093202186 | Carolyn Ligon Palmore | Counselor | 201 N Washington Hwy Ste 201, Ashland, VA 23005 | 2018-04-16 |
| 1265937783 | Mary Leffler | Occupational Therapist | 200 Berkley St., Ashland, VA 23005 | 2018-03-27 |
| 1508361080 | Janna Cole | Occupational Therapy Assistant | 906 Thompson St., Ashland, VA 23005 | 2018-03-27 |
| 1114305067 | Companion Extraordinaire Home Health Care | Respite Care | 112 England Street, Suite A, Ashland, VA 23005 | 2015-05-12 |
| 1245633981 | Colleen Mcmahon | Occupational Therapist | 100 England St., Ashland, VA 23005 | 2014-10-08 |
| 1255483871 | J Neil Turnage | Dentist | 10500 Atlee Station Road, Ashland, VA 23005 | 2007-01-16 |
| 1982612370 | Wendy Harris Haupt | Social Worker | 201 N Washington Hwy Ste 207, Ashland, VA 23005 | 2006-08-03 |
| 1841250032 | Christine Heuston Lessels | Nurse Practitioner | Hanover Health District, 12312 Washington Highway, Ashland, VA 23005 | 2006-03-23 |
| Find all providers in zip 23005 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076855 | Drew Gaurke | Student in an Organized Health Care Education/Training Program | 10283 Lakeridge Sqaure Ct., Apt K, Ashland, VA 23005 | 2019-11-06 |
| 1881164473 | Destiny Dawn Williams | Student in an Organized Health Care Education/Training Program | 1115 Union Street, Ashland, OH 44805 | 2018-11-27 |
| 1659868750 | Alexander Durant Christie | Student in an Organized Health Care Education/Training Program | 505 Amanda Furnace Dr, Ashland, KY 41101-2101 | 2018-04-16 |
| 1982132411 | Raymond Antoun | Student in an Organized Health Care Education/Training Program | 142 Captain Eames Cir, Ashland, MA 01721-1981 | 2017-05-29 |
| 1659733137 | Jacob Kushkuley | Student in an Organized Health Care Education/Training Program | 35 Captain Eames Cir, Ashland, MA 01721-1978 | 2016-03-24 |
| 1063893766 | Charles Matthew Stapleton | Student in an Organized Health Care Education/Training Program | 1702 Miller St, Ashland, KY 41101-4172 | 2015-06-18 |
| 1033455225 | Asheesh Jain | Student in an Organized Health Care Education/Training Program | 243 Bellefonte Cir, Ashland, KY 41101-2195 | 2012-12-17 |
| 1295942308 | Lily Cameron | Student in an Organized Health Care Education/Training Program | 13100 Noisettes Cir, Ashland, VA 23005-7469 | 2007-05-17 |
| 1427662972 | Amrit Pokharel | Student in an Organized Health Care Education/Training Program | 18 Ashland Woods Ln, Ashland, MA 01721-4418 | 2020-09-02 |
| 1902319072 | Molly Elizabeth Rajewski | Student in an Organized Health Care Education/Training Program | 401 College Ave, Ashland, OH 44805-3702 | 2017-11-13 |
| Find all providers in ASHLAND | ||||
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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.