MR. JACKSON THOMPSON (NPI# 1720517147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720517147 |
| Entity Type | Individual |
| Full Name | MR. JACKSON THOMPSON |
| Credential | ATC |
| Practice Address |
296 Cross Creek Rd Henderson NC 27537 |
| Mailing Address |
296 Cross Creek Rd Henderson NC 27537-7921 |
| Practice Telephone | (252) 915-7228 |
| Mailing Telephone | 2529157228 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
296 CROSS CREEK RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931564 | Bonie Teal | Technician | 24 Waters Edge Rd, Henderson, NC 27537 | 2019-09-13 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1518306349 | Peace Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Bliley Lane, Henderson, NC 27537 | 2013-06-14 |
| 1346555349 | New Direction Ministries, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 825 Thomas Road, Henderson, NC 27537 | 2010-08-13 |
| 1326371881 | Transforming Therapeutic Intensive Services | Clinic/Center | 416 Forest Hills Drive, Henderson, NC 27537 | 2009-09-15 |
| 1811166507 | D.d. Residential Services, Inc | Community/Behavioral Health | 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 | 2008-02-27 |
| 1083770598 | A.g.a.p.e. Community Development Corporation, Inc. | Case Management | 265 Satterwhite Point Road, Henderson, NC 27537 | 2006-12-29 |
| 1316438948 | Beulah Margaret Gracelyn Daniel Nirmal Singh | Physical Therapist | 2275 Ruin Creek Rd, Henderson, NC 27537 | 2018-05-18 |
| 1710380407 | The J Williams Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 287 Oak Hill Loop, Henderson, NC 27537 | 2014-10-08 |
| Find all providers in zip 27537 | ||||
| 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 |
|---|---|---|---|---|
| 1215543814 | Taylor Hall | Specialist/Technologist | 2424 Zion Rd, Henderson, KY 42420-4713 | 2020-09-18 |
| 1245868793 | Carla Flores | Specialist/Technologist | 5880 Boulder Falls St Apt 2099, Henderson, NV 89011-4966 | 2020-03-31 |
| 1467009886 | Morgan Merrill | Specialist/Technologist | 2305 W Horizon Ridge Pkwy Apt 3722, Henderson, NV 89052-5770 | 2019-08-20 |
| 1316446495 | Caitlyn Tranquillo | Specialist/Technologist | 192 Webster Way, Henderson, NV 89074-0622 | 2018-02-05 |
| 1326550369 | Christopher Bryan Perrine | Specialist/Technologist | 970 Hunters Run Dr, Henderson, NV 89002-9693 | 2017-10-31 |
| 1174032049 | Vernice E Ollano | Specialist/Technologist | 3700 Liberty Heights Ave, Henderson, NV 89052-8612 | 2017-09-23 |
| 1568987576 | Chelsea Hanes | Specialist/Technologist | 800 College Dr, Henderson, NV 89002-8489 | 2017-08-10 |
| 1124543590 | Michelle Taylor | Specialist/Technologist | 12909 E 120th Ave, Henderson, CO 80640-9146 | 2017-08-07 |
| 1033641444 | Sierra Maison | Specialist/Technologist | 509 Quail Bird Pl, Henderson, NV 89052-2813 | 2017-04-03 |
| 1255877924 | Karissa Danielle Gribbin | Specialist/Technologist | 460 N Arroyo Grande Blvd, Henderson, NV 89014-3900 | 2017-01-18 |
| Find all providers in HENDERSON | ||||
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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.