MRS. RACHEL LEGGETT KING (NPI# 1700128535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700128535 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL LEGGETT KING |
| Credential | PMHNP |
| Practice Address |
3450 Highway 80 W Jackson MS 39209-7201 |
| Mailing Address |
1900 N West St Jackson MS 39202-1033 |
| Practice Telephone | 6013212400 |
| Mailing Telephone | 6013527784 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R882657 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1629587068 | Rachel Elizabeth King | Occupational Therapist | 320 Tesconi Cir Ste G, Santa Rosa, CA 95401-4611 | 2017-09-28 |
| 1760801583 | Rachel Beth King | Registered Nurse | 1506 Mill Rd, Gulfport, MS 39507-4259 | 2014-04-09 |
| 1396169777 | Rachel King | Speech-Language Pathologist | 23081 Coshocton Rd, Howard, OH 43028-9260 | 2014-02-06 |
| 1780012690 | Rachel King | Licensed Vocational Nurse | 16621 Jaron Dr, Manor, TX 78653-5262 | 2013-10-31 |
| 1669748307 | Rachel King | Lactation Consultant, Non-RN | 547 45th St Apt 1, Brooklyn, NY 11220-1306 | 2012-03-27 |
| 1689809766 | Rachel L King | Dentist | 110 Bergen Street, Umdnj, Pediatric Dentistry Department, Rm C-722, Newark, NJ 07103 | 2009-05-19 |
| 1225276686 | Rachel S King | Speech-Language Pathologist | 198 Virginia Cir, Cairo, GA 39828-6888 | 2009-01-22 |
| 1609090869 | Rachel C.h. King | Pediatrics | 180 Hwy. 71 South, Ashdown, AR 71822-8650 | 2007-04-12 |
| 1205826245 | Rachel King | Physician Assistant | 6454 W Emerald St, Boise, ID 83704-8734 | 2005-10-21 |
| Street Address |
3450 HIGHWAY 80 W |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468468 | Jeffrey Asgar Ali | Psychiatry & Neurology | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2006-06-22 |
| 1649878216 | Donna Brown | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1831797471 | Tecola Bradley | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1093313660 | Detrick Johnson | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1902404460 | Brittany C Bloodsaw | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1497353957 | Lakeshia L Sutton | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1134727605 | Maya D Dezell | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1275131740 | Karla Banks | Social Worker | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1881292340 | Lyser N Selmon | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1568078566 | Maricus Walker | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511981 | Nurture Mental Health & Wellness Center LLC | Nurse Practitioner | 125 S King St Ste 2a, Jackson, WY 83001-8124 | 2020-09-07 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1760921225 | A Beautiful Mind LLC | Nurse Practitioner | 1856 Smallwood St, Jackson, MS 39212-2521 | 2017-02-16 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1114311446 | Lakeisha Crye Green | Nurse Practitioner | 5568 Tiki Ln, Jackson, MS 39212-3657 | 2015-03-25 |
| 1205176716 | Robert White LLC | Nurse Practitioner | 2290 West County Line Rd, Suite 105, Jackson, NEW JERSEY 08527 | 2013-02-20 |
| 1699046235 | Matrix Wellness Solutions | Nurse Practitioner | 384 Carriage House Dr Ste D, Suite D, Jackson, TN 38305-2268 | 2012-01-12 |
| 1063721314 | Anna M Cook | Nurse Practitioner | 163 W Univeristy Parkway, Jackson, TN 38305 | 2010-10-05 |
| 1720245848 | Carol Jeanne Dove | Nurse Practitioner | 4044 Briggs Ct, Jackson, MI 49201-9033 | 2008-05-16 |
| 1730203415 | Sherry M Blackford | Nurse Practitioner | 238 Summar Drive, Jackson, TN 38301 | 2007-03-19 |
| Find all providers in JACKSON | ||||
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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.