AARONJACK RUSSELL PERRY III (NPI# 1821599598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821599598 |
| Entity Type | Individual |
| Full Name | AARONJACK RUSSELL PERRY III |
| Practice Address |
1545 5th St Clovis CA 93611-1411 |
| Practice Telephone | 5592819575 |
| Mailing Telephone | 5592819575 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CALIFORNIA COMMUNITY NETWORK | 83109 | 01 |
| Street Address |
1545 5TH ST |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740781509 | Honest Citizens Network | Religious Nonmedical Practitioner | 1545 5th St, Clovis, CA 93611-1411 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 374K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Religious Nonmedical Practitioner |
| A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |
| Notes: Source: National Uniform Claim Committee , 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740781509 | Honest Citizens Network | Religious Nonmedical Practitioner | 1545 5th St, Clovis, CA 93611-1411 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696455 | Meir Sultan | Religious Nonmedical Practitioner | 5234 Vantage Ave Unit 101, Valley Village, CA 91607-2644 | 2020-07-08 |
| 1790318178 | Skye Kent Davis | Religious Nonmedical Practitioner | 8668 Oldwoods Way, Sacramento, CA 95828-5043 | 2020-02-13 |
| 1184058646 | Mary Bothwell | Religious Nonmedical Practitioner | 2409 Honolulu Ave Ste 4, Montrose, CA 91020-1871 | 2013-09-02 |
| 1538593801 | Michael Morgan | Religious Nonmedical Practitioner | 4132 W Hood Ave, Burbank, CA 91505-4010 | 2013-08-22 |
| 1467703884 | Brian Douglas Talcott | Religious Nonmedical Practitioner | 1076 Siler Pl, Berkeley, CA 94705-1536 | 2012-09-25 |
| 1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
Please comment or provide details below to improve the information on AARONJACK RUSSELL PERRY III.
| 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.