KAREN SYDNI JACKSON (NPI# 1760517999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760517999 |
| Entity Type | Individual |
| Full Name | KAREN SYDNI JACKSON |
| Credential | ATC |
| Practice Address |
125 Nationwide Dr Lynchburg VA 24502-4272 |
| Mailing Address |
1482 Lake Shore Dr Forest VA 24551-2131 |
| Practice Telephone | 4342006933 |
| Mailing Telephone | 4344140632 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000732 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
| 1417402603 | Karen Jackson | Counselor | 6564 Crescent Grn, West Bloomfield, MI 48322-1323 | 2016-08-17 |
| 1083095889 | Karen Jackson | Developmental Therapist | 4825 Paris Ave, Jacksonville, FL 32209-3052 | 2015-06-17 |
| 1982084380 | Karen Jackson | Behavioral Analyst | 18842 120th Rd, Saint Albans, NY 11412-3617 | 2015-06-02 |
| 1780955864 | Karen P. Jackson | Social Worker | 1105 Terminal Way Ste 202, Reno, NV 89502-2162 | 2012-01-20 |
| 1194013284 | Karen C. Jackson | Speech-Language Pathologist | 7449 Heatherfield Ln, Alexandria, VA 22315-5292 | 2011-07-11 |
| 1730481862 | Karen Gayle Jackson | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| 1316268188 | Karen F Jackson | Chore Provider | 136 Dockside Dr, Jacksonville, NC 28546-9768 | 2010-06-16 |
| 1124274774 | Karen Jackson | Nurse Practitioner | 107 Nicole Pl, Daphne, AL 36526-7614 | 2008-08-14 |
| 1881899607 | Karen Jackson | Occupational Therapist | 378 Black Point Rd, Scarborough, ME 04074-8619 | 2007-06-20 |
| Street Address |
125 NATIONWIDE DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562441 | Duncan G. Hughes | Family Medicine | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2005-10-14 |
| 1275132391 | Olena Z Mahne | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-10-20 |
| 1306453675 | Centra Medical Group Endocrinology | Internal Medicine | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-09-30 |
| 1871110353 | Christopher Trent Smith | Physical Therapist | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-06-30 |
| 1629609359 | Jessica Pack | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-01-31 |
| 1720593965 | Matthew Paul Neumann | Internal Medicine | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-12-11 |
| 1336651504 | Michelle Angus | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-10-27 |
| 1730699596 | Christian Ann Bowlin | Physician Assistant | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-10-06 |
| 1588180939 | Hollie Lacy | Physical Therapist | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-08-17 |
| 1336688456 | John Daniel Ruck | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| 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 |
|---|---|---|---|---|
| 1467088278 | Carrington Marie Erquiaga | Specialist/Technologist | 2101 Rivermont Ave, Lynchburg, VA 24503-4122 | 2020-03-13 |
| 1235765058 | Hailli Marie Cooke | Specialist/Technologist | 1000 Misty Mountain Rd, Lynchburg, VA 24502-3946 | 2020-03-13 |
| 1730714551 | Alonzo Lopez | Specialist/Technologist | 2133 Edinboro Ave, Lynchburg, VA 24502-5322 | 2020-03-12 |
| 1013549583 | Jacob Gachowski | Specialist/Technologist | 37 Gloucester Dr, Lynchburg, VA 24501-1127 | 2020-02-12 |
| 1528608759 | Candace Elisabeth Del Vallle | Specialist/Technologist | 200 Capstone Dr Unit 207, Lynchburg, VA 24502-5198 | 2020-01-15 |
| 1396395661 | Allyson Brantley | Specialist/Technologist | 102 Stonemill Dr Apt H, Lynchburg, VA 24502-2064 | 2019-09-18 |
| 1114581774 | Reed Worthington | Specialist/Technologist | Liberty University 1971 University Blvd, Lynchburg, VA 24515-0001 | 2019-04-29 |
| 1770147019 | Mayowa David Aribisala | Specialist/Technologist | 7612 Timberlake Rd Apt 1312, Lynchburg, VA 24502-2490 | 2019-04-23 |
| 1184287054 | Ethan Shay Tutton | Specialist/Technologist | 1000 Misty Mountain Rd Apt 165, Lynchburg, VA 24502-3947 | 2019-04-17 |
| 1457814055 | Kristina Overholt | Specialist/Technologist | 88 Briarwood Ln, Lynchburg, VA 24501-7202 | 2019-04-10 |
| Find all providers in LYNCHBURG | ||||
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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.