MS. JENNIFER FARROLL (NPI# 1790229060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790229060 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER FARROLL |
| Credential | ED.D., LAT, ATC |
| Practice Address |
1050 Union University Dr Box 1864 Jackson TN 38305-3656 |
| Mailing Address |
124 Enfield Cv Medina TN 38355-6932 |
| Practice Telephone | 7316615024 |
| Mailing Telephone | 7316615024 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0000001419 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1050 UNION UNIVERSITY DR BOX 1864 |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528241999 | Kathy Michelle O'connor-wray | Nurse Practitioner | 1050 Union University Dr, Jackson, TN 38305 | 2007-12-08 |
| 1235730680 | Lunawati Lo Bennett | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3697 | 2020-11-03 |
| 1619578143 | Kim Lindsey-goodrich | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2020-11-02 |
| 1992331490 | Alexandra Laine Anderson | Student in an Organized Health Care Education/Training Program | 1050 Union University Dr, Jackson, TN 38305-3656 | 2020-03-16 |
| 1417593872 | Riley Renay Gray | Specialist/Technologist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2019-11-20 |
| 1083190474 | Margaret Claire Whitehead | Nurse Anesthetist, Certified Registered | 1050 Union University Dr, Jackson, TN 38305-3656 | 2018-07-18 |
| 1275991879 | Bradley Spencer | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2016-02-10 |
| 1952658429 | Zoila Vichot Sanchez | Nurse Practitioner | 1050 Union University Dr, White Hall 234, Jackson, TN 38305-3656 | 2012-08-14 |
| 1518238062 | Paul Mayer | Nurse Practitioner | 1050 Union University Dr, Attn: Health Services, Jackson, TN 38305-3656 | 2012-01-14 |
| 1275814386 | Mary Day | Pharmacist | 1050 Union University Dr, Jackson, TN 38305-3656 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1205471752 | Shelly Ann Botwinick | Specialist/Technologist | 104 Daisy Ct, Jackson, NJ 08527-2582 | 2019-11-07 |
| 1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
| 1588132161 | John Thomas Raybon | Specialist/Technologist | 328 Portis Ave, Jackson, AL 36545-2650 | 2018-11-13 |
| 1265925044 | Caroline Marie Stevens | Specialist/Technologist | 715 S Grinnell St, Jackson, MI 49203-1685 | 2018-06-07 |
| 1447762067 | Sarah Elisabeth Wilhelm | Specialist/Technologist | 3483 Spring Arbor Rd, Jackson, MI 49203-3637 | 2017-11-05 |
| 1619410388 | Erin Nelson | Specialist/Technologist | 4174 Lancashire Dr, Jackson, MI 49203-5137 | 2016-11-29 |
| 1235681685 | Latesha Fleming | Specialist/Technologist | 241 Glenside Dr, Jackson, MS 39211-4309 | 2016-11-02 |
| 1962855239 | David Miller | Specialist/Technologist | 917 Bellevue Pl, Jackson, MS 39202-2702 | 2016-07-21 |
| 1023488186 | Melanie J Weesies | Specialist/Technologist | 3417 Mayapple Ln Apt 32, Jackson, MI 49201-7199 | 2015-10-01 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 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.