MRS. JENNIFER WALKER PUCKETT (NPI# 1770758427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770758427 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER WALKER PUCKETT |
| Credential | MT-BC, NMT |
| Practice Address |
2180 Ridge Rd Canton GA 30114-4187 |
| Mailing Address |
Po Box 5121 Canton GA 30114-0033 |
| Practice Telephone | 6782316692 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | 07335 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821286972 | Jennifer Puckett | Registered Nurse | 5715 Us Highway 22 E, New Holland, OH 43145-9616 | 2007-10-12 |
| 1134699689 | Jennifer Puckett | Social Worker | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2018-11-27 |
| 1124313739 | Jennifer Ann Puckett | Pharmacist | 755 Nw Gilman Blvd, T-0996, Issaquah, WA 98027-5357 | 2011-06-10 |
| 1245547405 | Jennifer Stanfield Puckett | Physician Assistant | 811 13th St, Pob 3, Suite 10, Augusta, GA 30901-2700 | 2010-09-09 |
| 1700098266 | Jennifer Suzanne Puckett | Audiologist | 3099 River Rd S, Ste 150, Salem, OR 97302-9754 | 2007-05-04 |
| 1710931548 | Jennifer H Puckett | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2006-05-19 |
| Street Address |
2180 RIDGE RD |
| City | CANTON |
| State | GA |
| Zip Code | 30114-4187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850022 | Hannah Ivey Bush | Music Therapist | 4280 Hickory Flat Hwy Ste 108, Canton, GA 30115-6634 | 2013-06-11 |
| 1245584176 | Sarah Seo | Music Therapist | 317 Vandiver Ct, Canton, GA 30115-2002 | 2012-10-30 |
| 1689924383 | Chelsea Marie Farr | Music Therapist | 4280 Hickory Flat Hwy, Suite 108, Canton, GA 30114-7505 | 2012-09-11 |
| 1922366301 | Alison Marie Williams | Music Therapist | 310 Paper Trail Way Ste 302, Canton, GA 30115-5205 | 2012-04-24 |
| 1144764408 | Hayley Godwin Echols | Music Therapist | 4280 Hickory Flat Hwy, Canton, GA 30115-6633 | 2016-12-06 |
| 1740647601 | Perry Rebekah Wright | Music Therapist | 4280 Hickory Flat Hwy, Canton, GA 30115-6633 | 2016-01-24 |
| 1760805279 | Ashley Frazier | Music Therapist | 4280 Hickory Flat Hwy, Suite 108, Canton, GA 30115-6633 | 2014-02-04 |
| 1134558257 | Hannah Michele Owenby | Music Therapist | 4280 Hickory Flat Hwy Ste 108, Canton, GA 30115-6634 | 2013-11-08 |
| 1851693600 | Kellie Marie Schallert | Music Therapist | 310 Paper Trail Way, Suite 302, Canton, GA 30115-5203 | 2010-11-30 |
| 1922310044 | Jessica Ann Pitts | Music Therapist | 310 Paper Trail Way, Suite 302, Canton, GA 30115-5203 | 2010-07-06 |
| Find all providers in CANTON | ||||
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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.