JON BRENT CARIKER (NPI# 1861915795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861915795 |
| Entity Type | Individual |
| Full Name | JON BRENT CARIKER |
| Credential | PMH-NP |
| Practice Address |
367 Pine St Springfield MA 01105-1930 |
| Mailing Address |
219 Roma Dr Lewisville TX 75067-4191 |
| Practice Telephone | 8002320510 |
| Practice Fax Number | 4137336457 |
| Mailing Telephone | 8176475455 |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP134530 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APRN LICENSE | AP134530 | 01 |
| Street Address |
367 PINE ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164436093 | Child and Family Service of Pioneer Valley | Clinic/Center | 367 Pine St, Springfield, MA 01105-1930 | 2006-07-28 |
| 1851990196 | Jacqueline Marie Bonet | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2020-10-19 |
| 1386242584 | Tammy Rynn | Registered Nurse | 367 Pine St, Springfield, MA 01105-1930 | 2020-10-12 |
| 1538780093 | Raul Ayala | Case Manager/Care Coordinator | 367 Pine St, Springfield, MA 01105-1930 | 2020-05-06 |
| 1437798394 | Tatiana Flores | Case Manager/Care Coordinator | 367 Pine St, Springfield, MA 01105-1930 | 2019-12-24 |
| 1982243853 | Chandra Jackson | Social Worker | 367 Pine St, Springfield, MA 01105-1930 | 2019-12-24 |
| 1942847439 | Migdalia Torres | Community Health Worker | 367 Pine St, Springfield, MA 01105-1930 | 2019-12-04 |
| 1225683014 | Susan Messier | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2019-08-07 |
| 1588224521 | Kerriann Diana Van Allen | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2019-06-20 |
| 1508426644 | Shaynice Leticka Robinson | Counselor | 367 Pine St, Springfield, MA 01105-1930 | 2019-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1477178978 | Eric Avent | Nurse Practitioner | 111 5th Ave W Ste 103, Springfield, TN 37172-2428 | 2020-06-10 |
| 1043722770 | Mary Catherine Knutson | Nurse Practitioner | 1201 S 4th St, Springfield, IL 62703-2228 | 2017-11-03 |
| 1922422617 | Azuka Ofodike | Nurse Practitioner | 31 Tooker Pl, Springfield, NJ 07081-2227 | 2014-02-14 |
| 1306117189 | Mark Anthony Lynch | Nurse Practitioner | 7108 Neuman St, Springfield, VA 22150-4419 | 2012-01-25 |
| 1609100973 | Cindy Michael | Nurse Practitioner | 841 E Northern Ave, Springfield, OH 45503-3848 | 2009-09-18 |
| 1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1083648604 | Dawn M Vanderhoef | Nurse Practitioner | 713 Cheatham St, Springfield, TN 37172-2828 | 2006-07-10 |
| 1316992019 | Ruben Montanez | Nurse Practitioner | 1695 Main St Fl 400, Springfield, MA 01103-1063 | 2006-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on JON BRENT CARIKER.
| 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.