DR. JACQUELINE KRACKER (NPI# 1700045457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700045457 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE KRACKER |
| Credential | PH.D. |
| Practice Address |
James H Quillen Va Medical Center Psychology Service Mountain Home TN 37684 |
| Mailing Address |
James H Quillen Va Medical Center P.o. Box 4000 Mail Stop 122hb Mountain Home TN 37684 |
| Practice Telephone | 4239794341 |
| Mailing Telephone | 4239794341 |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2010-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2926 | TN | Behavioral Health & Social Service Providers |
| Street Address |
JAMES H QUILLEN VA MEDICAL CENTER PSYCHOLOGY SERVICE |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429740 | Paul Thomas Provance | Internal Medicine | James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2006-05-31 |
| 1063668010 | Danny Icenhour | Pharmacist | James H Quillen Va Medical Center, Mountain Home, TN 37684 | 2008-08-11 |
| 1033132774 | Charles William Schutter II | Physical Therapist | James H Quillen Va Medical Center, 4000, Mountain Home, TN 37684 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973350 | Brandon J Griffin | Psychologist | 4281 Highway 201 S, Mountain Home, AR 72653-5543 | 2019-10-10 |
| 1518236538 | Medical Education Assistance Corporation | Psychologist | Lake Dr., Bldg. 52, Mountain Home, TN 37684-0699 | 2011-12-20 |
| 1184726416 | Myra Qualls Elder | Psychologist | Psychology Service, 116b2, Mountain Home, TN 37684-4000 | 2006-09-05 |
| 1457368912 | Tammy J Berke | Psychologist | 899 Burnett Dr, Mountain Home, AR 72653 | 2006-08-01 |
| 1326079914 | Kevin J Sharkey | Psychologist | Psychology Service (116b), J.h. Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2006-07-05 |
| 1811976731 | Nancy Ann Bunting | Psychologist | 103 S Main, Ste 9, Mountain Home, AR 72653 | 2006-01-10 |
| 1992331037 | Bridget Reeves Jeter | Psychologist | Dogwood Avenue, Blg 160, Mountain Home, TN 37684 | 2020-03-20 |
| 1255805859 | Courtney Lilly Cook | Psychologist | Lamont St & Veterans Way, Bldg 160, Mountain Home, TN 37684 | 2019-01-16 |
| 1740764919 | Heather Zapor | Psychologist | Corner of Lamont & Veterans Way, Mountain Home, TN 37684 | 2018-09-24 |
| 1083050959 | Katherine Kuhlken Mason | Psychologist | 809 Lamont St, Mountain Home, TN 37684 | 2013-05-17 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on DR. JACQUELINE KRACKER.
| 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.