JORDAN LOCKMAN (NPI# 1790231959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790231959 |
Entity Type | Individual |
Full Name | JORDAN LOCKMAN |
Practice Address |
1300 Wheat St Columbia SC 29208-0001 |
Practice Telephone | 8438138830 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1300 WHEAT ST |
City | COLUMBIA |
State | SC |
Zip Code | 29208-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548478522 | Jeremy R Searson | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center, Room 218-p, Columbia, SC 29201 | 2007-05-21 |
1164031050 | Matthew Johnson | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2020-07-27 |
1275194706 | Adam M Hollien | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2019-06-25 |
1922666759 | Mychelle Lynn Berry | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2019-06-05 |
1083177281 | Stephanie Ulshafer | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-3515 | 2019-04-13 |
1780158337 | Dylan Rowe | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2019-01-16 |
1013447424 | Danielle Cadet | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2017-06-18 |
1316477748 | Ashley Desousa | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2017-06-18 |
1104356609 | Courtney Leanne Bradley | Specialist/Technologist | 1300 Wheat St, Columbia, SC 29208-0001 | 2017-06-15 |
1417499062 | Tyler Austin Long | Specialist/Technologist | 1300 Wheat St, Office 214, Columbia, SC 29208-0001 | 2016-11-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
1235764580 | Cheedy Jaja | Registered Nurse | College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 | 2020-03-06 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
1568019099 | Jennifer Cross | Counselor | 1401 Devine St Thomson Building 4th Floor, Columbia, SC 29208-0001 | 2019-08-20 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
1245858174 | Regina Duncan | Student in an Organized Health Care Education/Training Program | 1539 S Kilbourne Rd, Columbia, SC 29205-4708 | 2020-07-07 |
1972126043 | Sydney Allsbrook Funderburk | Student in an Organized Health Care Education/Training Program | 6401 Cloverdale Dr, Columbia, SC 29209-1840 | 2020-05-24 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
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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.